Ozempic & Bollywood (w/ Dr. Amar Shere)

Summary

Staying Alive with Jon Gabrus & Adam Pally: Episode Summary – "Ozempic & Bollywood (w/ Dr. Amar Shere)"

Release Date: April 24, 2025
Hosts: Jon Gabrus & Adam Pally
Guest: Dr. Amar Shere, Cardiologist

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Introduction to Dr. Amar Shere

The episode welcomes Dr. Amar Shere, a cardiologist with a personal journey in health transformation. Both hosts, Jon Gabrus and Adam Pally, express enthusiasm about having a medical professional on a comedy-centric podcast, setting the stage for an engaging and informative conversation.

---

Personal Weight Loss Journeys

Dr. Amar Shere's Transformation: Dr. Shere shares his experience of losing 30 pounds through significant dietary changes. He reveals that he was overweight, describing himself as "skinny fat," unaware of his adiposity until he introspected upon his 35th birthday. This realization prompted a shift from a processed vegan diet to a healthier, whole-food-based vegan lifestyle.

[10:31] Dr. Amar Shere: "I've been vegan for 12 years. But fat vegan. A lot of processed stuff, not super healthy."

Jon's Comedy Insights: Jon humorously relates his weight fluctuations to his comedic endeavors, highlighting the challenges of maintaining a healthy lifestyle amidst a career in entertainment.

---

Managing High Blood Pressure

Lifestyle Modifications: Dr. Shere emphasizes the importance of lifestyle changes before resorting to medication for high blood pressure. He advocates for diet and exercise as primary interventions.

[20:08] Dr. Amar Shere: "Before medication, what would you recommend to your patient? Lifestyle modifications first. Diet and exercise are probably one of the best ways to reduce blood pressure."

Dietary Recommendations: Reducing intake of high-sodium and processed foods is crucial. Dr. Shere advises adopting a whole-food, Mediterranean-style diet rich in fruits and vegetables.

[20:31] Dr. Amar Shere: "If you're eating a lot of high salty foods, a lot of processed foods, all this is going to raise your blood pressure."

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The Role of Genetics in Heart Health

Lipoprotein little A (Lp(a)): Dr. Shere discusses the genetic component of heart disease, specifically focusing on Lp(a), a lipid biomarker that is genetically determined and less influenced by lifestyle.

[31:19] Dr. Amar Shere: "Lipoprotein little A is unique because it is genetically determined. It's not like LDL; it's more stable and predetermined."

Jon and Adam acknowledge the challenges posed by genetic predispositions, reinforcing the need to manage modifiable risk factors even when genetics are unfavorable.

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Medications: Statins and Semaglutide (Ozempic)

Support for Statins: Dr. Shere advocates for the use of statins when necessary, highlighting their efficacy in reducing cholesterol and preventing cardiovascular events.

[36:28] Dr. Amar Shere: "As a cardiologist, I am pro statin. If you need it, I definitely recommend it."

Ozempic for Weight Loss: The discussion shifts to semaglutide (Ozempic), a medication approved for weight loss and heart disease prevention. Dr. Shere explains how Ozempic works by suppressing appetite and aiding in weight management.

[43:32] Dr. Amar Shere: "These medications are life-changing. They help shut off the food noise and aid in impulse control."

Jon shares his apprehensions about potentially losing his love for food but is reassured by Dr. Shere's explanation that Ozempic allows continued enjoyment of food in moderation.

[45:44] Dr. Amar Shere: "The medication makes you feel fuller faster and suppresses your appetite, so you eat less without having to give up the foods you love entirely."

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Incorporating Exercise: Bollywood Dancing

Bollywood as a Fitness Tool: Dr. Shere introduces Bollywood dancing as an effective and enjoyable form of exercise. He shares his background as a dance instructor and encourages the hosts to engage in physical activity through dance.

[16:02] Dr. Amar Shere: "Dancing is for anyone, even if you're out of shape. It's just something that you do for fun if you enjoy it."

Jon and Adam actively participate in a brief Bollywood dance segment, illustrating how integrating fun activities can enhance fitness routines.

[56:31] Dr. Amar Shere: "I'll teach you guys how to do this."

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Importance of Sleep for Heart Health

Sleep Hygiene: Adequate sleep is discussed as a critical component of heart health. Dr. Shere recommends 7-8 hours of consistent, quality sleep to reduce stress and lower blood pressure.

[28:18] Dr. Amar Shere: "Anything less increases your risk. Anything more than 9 hours actually increases your risk."

Hosts share personal sleep challenges and strategies, such as incorporating bedtime teas and establishing nightly rituals to improve sleep quality.

[29:22] Adam Pally: "Chamomile tea pairs well with cannabis. It's part of the ritual that signals winding down."

---

Addressing Stigma and Myths Around Weight Loss Medications

Overcoming Negative Perceptions: The conversation tackles the misconceptions surrounding weight loss drugs like Ozempic, debunking the stigma that these medications are solely for vanity purposes.

[49:18] Adam Pally: "It's not purely aesthetic. These medications have genuine health benefits."

Dr. Shere stresses the importance of viewing these medications as tools to support lifestyle changes rather than shortcuts.

[43:21] Dr. Amar Shere: "Find a provider that knows how to prescribe this safely and efficiently, and ensure you're combining it with diet and exercise."

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Practical Health Hacks

Strength Training: Dr. Shere underscores the significance of strength training to preserve muscle mass during weight loss, which is vital for overall health and metabolic function.

[51:23] Dr. Amar Shere: "Strength training at least two to three times a week helps preserve muscle mass as you lose fat."

Consistent Healthy Habits: Consistency in maintaining healthy habits—diet, exercise, sleep—is pivotal in managing heart health effectively.

[29:06] Dr. Amar Shere: "Just be consistent with any of these habits that we talk about."

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Conclusion: Integrating Health into Daily Life

The episode wraps up with the hosts reflecting on the insights gained from Dr. Shere, emphasizing the blend of medical advice with practical, enjoyable activities like dancing to maintain heart health. They express a commitment to incorporating these strategies into their lives, underscoring the podcast’s mission to explore and promote sustainable health and wellness practices.

[59:00] Adam Pally: "I'm having a follow-up about the semaglutide. It's really time to think about longevity and living longer."

[58:05] Adam Pally: "Sometimes it's so fun to have a doctor on and have these serious conversations about heart health hacks and end with us doing a dance."

---

Notable Quotes

• Dr. Amar Shere [10:31]: "I've been vegan for 12 years. But fat vegan. A lot of processed stuff, not super healthy."
• Dr. Amar Shere [20:08]: "Before medication, lifestyle modifications first. Diet and exercise are probably one of the best ways to reduce blood pressure."
• Dr. Amar Shere [36:28]: "As a cardiologist, I am pro statin. If you need it, I definitely recommend it."
• Dr. Amar Shere [45:44]: "The medication makes you feel fuller faster and suppresses your appetite, so you eat less without having to give up the foods you love entirely."
• Dr. Amar Shere [56:31]: "I'll teach you guys how to do this."
• Dr. Amar Shere [49:18]: "It's not purely aesthetic. These medications have genuine health benefits."

---

Final Thoughts

This episode of Staying Alive with Jon Gabrus & Adam Pally masterfully blends humor with critical health discussions, providing listeners with actionable insights into managing weight, blood pressure, and overall heart health. Dr. Amar Shere's expertise adds depth to the conversation, making complex medical topics accessible and engaging. The incorporation of Bollywood dancing as a fun exercise illustrates how enjoyable activities can seamlessly integrate into a healthy lifestyle, fulfilling the podcast's promise of "real, honest, and grossly forthcoming" conversations about wellness.

Transcript

[Sean Hayes]

Smart.

[Adam Pally]

Bless me.

[Sean Hayes]

Hey, everybody, Sean Hayes here.

[Adam Pally]

Listen, this podcast is not intended as a substitute for a physician's medical advice. My pod sons, John and Adam, are not doctors, to say the least.

[Sean Hayes]

And even when they have doctors on the show, they aren't prescribing you anything. They don't even know you Listen for entertainment, not advice.

[Adam Pally]

Good.

[John Gabris]

Oh, okay, good. Enjoy the show, everybody.

[Adam Pally]

We don't do any intro and outro while you're here, okay?

[Sean Hayes]

So don't worry about.

[Adam Pally]

Be able to get you out of here in 45ish minutes.

[Sean Hayes]

Yeah. Thank you so much.

[Adam Pally]

It'll go all over the place if we never really talk about health and we only talk about dancing for, like, 45 minutes. That'll work.

[Sean Hayes]

Yeah, that'll be fine.

[John Gabris]

Sure.

[Sean Hayes]

Yeah. You don't have to do anything. It's like, honestly, you'll be. You'll be fine. That's Adam Pally, that's John Gabris, and.

[Adam Pally]

We are the co host of Smartless Media, SiriusXM's new podcast called Staying Alive.

[Sean Hayes]

That's right. We're doing a podcast, and we're actors. That's how good our careers are going.

[Adam Pally]

Yeah. And here, literally, this might as well be mandated by doctors for us. To the two co hosts of 101 places to party before you die, we realized we got to do a few more things before we die, which include staying alive long enough to get to 93 more places.

[Sean Hayes]

And in doing this podcast, we will be talking to experts in the field of health and wellness.

[Adam Pally]

Yeah, we'll have doctors, trainers, psychologists, psychologists, fitness influencers. But then we'll also be talking to some of our funny friends, because it turns out every single person in their life is going through some sort of health journey.

[Sean Hayes]

Everybody is trying to stay alive, and if you're not, then that's a whole other set. It's probably a better podcast that you could be.

[Adam Pally]

Yeah, there's probably, you know, shout out a therapy.

[Sean Hayes]

Yeah, there are 1, 800 numbers that you should be calling.

[Adam Pally]

You know, Adam and I, we may not be wellness experts, but I can tell you this. We are curious freaks who love to talk about this shit.

[Sean Hayes]

And we've done enough harm to our bodies to know that now's the time to maybe make a change.

[Adam Pally]

Yeah, we can't say we can make a U turn in our lives, but at least we could pump the brakes.

[Sean Hayes]

A little and maybe make a left.

[Adam Pally]

Hey, two songs. Omega left, right? Correct. I'm really stoked about our guest. We have a doctor on. We can get Doctors on Thank Shout Out. The smartless booking team to be able to get doctors to come on for real.

[Sean Hayes]

And every time a doctor sits down and looks at us, they're like, wait, I thought this was a wellness podcast.

[Adam Pally]

Yeah.

[Sean Hayes]

We're like, sorry. And we're like, yeah. Is it well to smoke weed?

[Adam Pally]

Hey, Doc, what should I do? He's like, quit smoking. I'm like, okay.

[Sean Hayes]

Yeah, I zoned out. What was that?

[Adam Pally]

I need a second opinion. New guest. Get the out of here.

[Sean Hayes]

No, but Dr. Amar, I'm really looking forward to talking to him, especially because we both are on heart medicine and we. We have genetic heart issues, and we. We talk about it a lot, and we still have our lifestyle, that is Big hearts. We have big hearts.

[Adam Pally]

Medically and figuratively.

[Sean Hayes]

Figuratively. And I want to know. I want to know if I'm doing the right thing.

[Adam Pally]

Yeah. You know, validation is key of, like, you're doing the kind of the right thing, but maybe tweak it this way. Or, like, have you thought about this?

[Sean Hayes]

Yeah. We want the director to say, good job.

[Adam Pally]

Yeah, yeah. Once the audience next time, do it like this. Less cheese. And you're like, copy that.

[Sean Hayes]

I should have been doing that in both my scenes and in my eating.

[Adam Pally]

All right, well, Dr. Aramar is going to be here in a second. Should we jam down all these cheese slices we opened?

[Sean Hayes]

Well, I don't want him to see it. Dr. Mars, you did work at Mars Sun Hospital?

[John Gabris]

I did, yeah. I don't work there anymore, so I'm kind of in transition into working for Hackensack.

[Sean Hayes]

Oh, cool.

[John Gabris]

Right now, I'm just kind of doing my own thing, trying to build, like, a virtual kind of private practice of.

[Sean Hayes]

People in the house.

[John Gabris]

Yeah, exactly.

[Adam Pally]

I'm working from home.

[John Gabris]

I'm working from home.

[Sean Hayes]

My dad was affiliated with Overlook.

[John Gabris]

Oh, really?

[Sean Hayes]

If he was at Mars somewhere. Yeah.

[John Gabris]

It's part of, like, Atlantic Health System.

[Sean Hayes]

Yeah, exactly. Yeah. My father is a physician.

[John Gabris]

Oh, really? Okay.

[Sean Hayes]

Yeah. In New Jersey.

[John Gabris]

Oh, nice. Did you also grow up in New Jersey or.

[Sean Hayes]

I went to high school and middle school there.

[Adam Pally]

Okay.

[Sean Hayes]

So some parts of my childhood.

[John Gabris]

Oh, nice.

[Sean Hayes]

Yeah. But I moved around a lot, and it was in New York City and Chicago for a lot of it.

[John Gabris]

Okay.

[Sean Hayes]

Where are you from?

[John Gabris]

New Jersey, born and raised. Elizabeth.

[Sean Hayes]

Elizabeth, yeah. Cool. Working class.

[John Gabris]

Yeah. My parents are in several, but I kind of moved around.

[Sean Hayes]

Have you ever been to Hunka Bunkers?

[John Gabris]

No. What's with that?

[Sean Hayes]

When I was a kid, every. Like a bunk, you know, like Z100.

[John Gabris]

Yeah.

[Sean Hayes]

Like every Friday night when. Like the. During the summer, especially when the rate you would be, like, driving someone, the radio would be like, Hunka Bunkers at Sayerville.

[John Gabris]

Oh, my God, yes.

[Sean Hayes]

You know it.

[John Gabris]

I remember it.

[Adam Pally]

There are so many things that I only know from radio jingles. I don't know if they were real places.

[Sean Hayes]

Now that you say that, I'm like, ladies getting freed. And I hunk a bunk is in.

[Adam Pally]

Sayreville, the big one. In college for me, there was a bar. There was like. They said, 18 to swim, 21 to go under. And I'm like, what does that mean? It wasn't about a pool. It was like a Club X or something.

[John Gabris]

So that's funny.

[Sean Hayes]

And. And you're a cardiologist. I'm a cardiologist. So how do you get from New Jersey to a cardiologist?

[John Gabris]

Yeah, so I'm in New Jersey. I grew up there, and then I went to school in Massachusetts, actually.

[Sean Hayes]

What school?

[John Gabris]

University of Massachusetts Amherst.

[Sean Hayes]

That's where my sister went.

[John Gabris]

Really? Yo, we're so connected, Zoomass. Yeah, yeah.

[Adam Pally]

Hunkabunka.

[Sean Hayes]

Yeah. Hunka Bunkers in Amherst.

[John Gabris]

Amherst.

[Sean Hayes]

Amherst is a good town, though. Amherst is, like, very college town.

[John Gabris]

Yeah, yeah.

[Sean Hayes]

And there's Amherst College, which is, like, super artsy and fun. Is that where you went to medical school?

[John Gabris]

No, no, no, no, no. I went there for undergrad, so I trained. I majored in neuroscience, biology. I kind of always knew from high school that I wanted to be a doctor.

[Adam Pally]

Was that, like, instilled from the family, or is that because we have some cultural stereotypes?

[John Gabris]

Yeah, no, my. No one in my family is a doctor. I'm the first one.

[Adam Pally]

Oh, hell yeah.

[Sean Hayes]

My dad must be the prodigal.

[John Gabris]

My parents are very proud. Yeah.

[Adam Pally]

I just met you.

[Sean Hayes]

Text your parents like, hey, I'm coming home for the weekend. Your mom is probably like, oh, my God.

[Adam Pally]

She's telling her friends, well, my doctor is coming up, and he's a doctor. What's wrong with you?

[Sean Hayes]

You can come by.

[John Gabris]

Absolutely free. Consults for everyone.

[Adam Pally]

This is a known thing, and I'm glad we finally have a doctor to talk to about. Doctors and comedians are the only people ever to ask to do their job. Not at work.

[Sean Hayes]

Oh, yeah.

[Adam Pally]

You'll be at a party and someone's like, my shoulder hurts. What can I do about it? And someone will go, like, tell me a joke. Yeah, yeah. Do know Bill Burr?

[Sean Hayes]

Yeah. It is hard to be a doctor socially sometimes.

[John Gabris]

Sure. Yeah.

[Sean Hayes]

That's the downside, right? The upside is the God complex.

[Adam Pally]

Yeah.

[John Gabris]

You got when you're on the plane.

[Adam Pally]

It'S like, is there a doctor here? He's like, I'm watching a movie.

[Sean Hayes]

That has happened to my father so much. Does that happen to you?

[John Gabris]

It's happened to me once, yeah.

[Sean Hayes]

What. What happened?

[John Gabris]

Yeah, someone almost passed out, actually.

[Sean Hayes]

Where were you? On a flight, and they said, is there a doctor on board?

[John Gabris]

Is there a doctor on board? Yeah.

[Sean Hayes]

Where were you sitting?

[John Gabris]

This was like, where I was, like, in the middle of the airplane, and this person was, you know, in the front and I think just was dehydrated. Really drunk. Not. I don't know, first class.

[Adam Pally]

They might have been sipping on, maybe.

[Sean Hayes]

Yeah, that's my first assumption. Always in first class.

[John Gabris]

Yeah.

[Adam Pally]

I always think it's like a person who accidentally had Xanax.

[Sean Hayes]

Yeah.

[John Gabris]

Yeah. Right. But at first when they ask, it's like, is there anyone else around?

[Adam Pally]

Yeah, please, someone else be a doctor.

[John Gabris]

But, you know, obviously, it's like, you know, you're a doctor. It's my duty to kind of responsibility to kind of help. Yeah, I can.

[Sean Hayes]

You don't get charged up. You're. You're not. It's not like soup, Clark.

[Adam Pally]

You're not sit in. You have scrubs on underneath.

[John Gabris]

I mean, you're not expecting it, right? You're, like, coming back from vacation or whatever, and you're like, you really don't want to, like, go to work. I would go to work. Yeah. But, you know, you don't mind, right, if there's any situation. But yeah, I mean, it just ended up being dehydration and nothing, you know, serious.

[Adam Pally]

I mean, that's like. My medical advice is like, drink some water. So. I could have helped out.

[Sean Hayes]

Yeah.

[Adam Pally]

My mom is a nurse, and one time a guy. We were at soccer practice, and there was a track around the soccer field, and a guy had a heart attack. Attack while running. And my mom didn't CPR until the EMT showed up.

[Sean Hayes]

Oh, my God.

[Adam Pally]

And the detail me and my brothers remember is that the guy pissed himself. We were like, mom's. Like, mom's blown in this guy's mouth. He's got piss all over his.

[Sean Hayes]

Oh, man, that's. That's traumatic. That's traumatic that you saw that.

[Adam Pally]

I saw that. And then another crazy thing I saw once that my mom did was we. And for context, for listeners and for Amar, you know, my mom. My mom is like a short, squat, Italian lady. She's not. You wouldn't think she's like a superhero or athletic in any way. We were driving home From Atlantic City in the rain. Me, her, my mom, my dad, me, and the aforementioned Sanford. And the car in front of us changes lanes, skids out, flips over and ends up upside down in the middle of the grass divider. And my mom screams at my dad, pull over. And my dad pulls over. My mom gets out, like, runs over and pulls a lady out of the. My dad is like, getting out of the car and my mom is already pulling people out of the car.

[Sean Hayes]

Wow, your mom, really? Joanne is, wow, this is my mom.

[Adam Pally]

I'm like, mom, you want to walk and get coffee? And she's like, no, Jonathan, it's way too hot out.

[Dr. Amar]

If you have a locked AT&T phone.

[Adam Pally]

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[Sean Hayes]

So one of the things that I was. That I was most interested to talk to you about is this recent 30 pound weight loss from a diet change.

[John Gabris]

Yes.

[Sean Hayes]

Now, how do I need two of those cardiologists?

[John Gabris]

Yes.

[Sean Hayes]

Were you overweight?

[John Gabris]

I was, I was overweight. I was. You know, I feel like I was what you call skinny fat. Oh, I could never tell I was overweight.

[Sean Hayes]

You're preaching to the.

[John Gabris]

His first.

[Adam Pally]

One of his first comedy groups is.

[Sean Hayes]

Called the Chubby Skinny, because me and a couple of my friends, like, sometimes we present skinny. Yeah, less and less as I get older. But like, when I was a kid, sometimes there would be moments in my life where, like, I looked like a normal kid. But like, if it was a pool party, hell on earth.

[John Gabris]

Oh, absolutely. Yeah.

[Adam Pally]

Yeah. I never got. I never got to. I never passed.

[John Gabris]

Nope. You know, for me, it was like I was holding on to a lot of abdominal fat and just like this central adiposity that, you know, definitely increases your health risk. And I kind of realized this as I was going through my practice and, you know, seeing patients. I'm like, wow. Like you just introspecting. We think about like all these things. I was like, wow, like, I'm giving my patients all these Advice. And I'm not, you know, I'm kind of living this myself.

[Sean Hayes]

And so what was your diet consisting?

[John Gabris]

Yeah, so I've been vegan for 12 years.

[Sean Hayes]

Wow.

[John Gabris]

But fat vegan. Fat vegan. Yeah. I was. For a majority of years, I was not a healthy vegan.

[Adam Pally]

Right, you were like a french fry vegan.

[Sean Hayes]

There's no meat and beer, French fries.

[John Gabris]

Oreos, like vegan burgers, vegan pizza, like all like the processed stuff, just not super healthy. And so, yeah, I was eating a lot of that. It wasn't consistent. I wasn't having like, you know, the healthy whole food kind of diet that I always recommend to my patients. And yeah, over time, I mean, I think it was like my 35th birthday where I literally was like in front of a mirror. I was like, what am I doing? Like, I feel like I'm a shitty doctor. You know, like.

[Adam Pally]

Well, you know the expression the mechanic's car runs the worst?

[John Gabris]

Yeah.

[Adam Pally]

You know, like, it's like you're working on other people's cars, you don't have time.

[John Gabris]

Exactly.

[Adam Pally]

But that's. I was in my mid-30s and I realized I might have to do something about this for real.

[Sean Hayes]

We should have called this podcast mid-30s.

[John Gabris]

Mid-30s.

[Adam Pally]

Except I'm in my mid-40s.

[John Gabris]

Yeah, yeah.

[Sean Hayes]

But, but, but, yeah, it's.

[Adam Pally]

So then you transition to a different.

[John Gabris]

Kind of vegan diet, a different style. Yeah. More healthful vegan diet.

[Adam Pally]

Like eating more veggies.

[John Gabris]

More veggies. More whole foods, less processed stuff. Let's package stuff. More things that I can pronounce. Looking at the ingredient list.

[Adam Pally]

Yeah.

[Sean Hayes]

Less a level. And Pepasols.

[John Gabris]

Exactly. Yeah. I mean, if your food ingredient looks like a science experiment, it's not. Maybe don't eat.

[Adam Pally]

Yeah, yeah. If it has. Yeah. Someone one time, some fit nutrition person said, one time is like, only eat food, that the name is the food.

[Sean Hayes]

Right.

[Adam Pally]

Like, you know, like if you look at the ingredients, what's in this banana? It's like bananas. Yeah. You're like, oh, okay.

[John Gabris]

Yeah, yeah.

[Adam Pally]

The vegan lifestyle. Or even like the organic stuff.

[John Gabris]

Right.

[Adam Pally]

You can be a little fooled. Like, Trader Joe's really had me fooled for like 10 years where I'm like, well, these are the health. These are Trader Joe's peanut butter cups.

[Sean Hayes]

A 90 pound thing of ginger snap cookies.

[Adam Pally]

Right, Exactly. Oh, these are organic Trader Joe's Bagel Bites. Right. Like, how bad can they be? For me, I'll eat two boxes and have six weeks worth of sodium.

[Sean Hayes]

That's why, that's why I've, for the last 15 years, have only eaten food with weed in it.

[Adam Pally]

If I'm going to eat gummies, they better have weed.

[Sean Hayes]

I wake up in the morning, I have a gum, you know, and then at lunch I have dial a little drizzled over popcorn and.

[John Gabris]

Yeah.

[Adam Pally]

So, Dr. Amar, besides your vegan diet, what are you doing to stay alive personally? And then we'll get into our personal issues, but I'm curious.

[John Gabris]

Yeah, so, I mean, as a cardiologist, to begin with, I check my pulse. Every morning.

[Sean Hayes]

Yeah, every morning.

[John Gabris]

No, just. I'm just kidding. Just to like, check existence. Just make sure I'm alive. Yeah.

[Adam Pally]

Okay.

[Sean Hayes]

No, because like, some days I check my pulse and I'm like, wow, it's not there. I mean, eventually then you look in.

[Adam Pally]

The mirror and there's no reflection and you're like, oh, fuck, am I a vampire?

[Sean Hayes]

Yeah. Yeah. And then I'd love to go into your house, but I have to be invited.

[John Gabris]

But no, really, I try to stay consistent with what I call my heart. Healthy hacks. And the most important thing I do is just move my body. Like, honestly move like my life depends on it. Physical inactivity is like.

[Adam Pally]

One would make a case that moving your life does depend on being able to move.

[John Gabris]

Yeah. And just, I don't know, in different ways, you know? Walking.

[Sean Hayes]

Walk. So you walk everywhere?

[John Gabris]

Walk everywhere.

[Sean Hayes]

As much as you live in New York City now.

[John Gabris]

I don't. In New Jersey.

[Sean Hayes]

So you still walk?

[John Gabris]

I still walk.

[Sean Hayes]

How do you do that?

[John Gabris]

Yeah, I mean, walks after work, you know, walk around the hospital instead of taking stairs. Instead of taking the elevator, you know, take the stairs.

[Adam Pally]

And you could do all this in Crocs. Or do you wear a different shoe barefoot?

[Sean Hayes]

I love a doctor.

[Adam Pally]

Hey, doctor.

[John Gabris]

Please don't do that here.

[Adam Pally]

Hold on.

[John Gabris]

To hospital.

[Adam Pally]

Holding a towel with your toe?

[Sean Hayes]

Yeah, I got stitched up by a pair of feet.

[John Gabris]

Don't do that in the hospital, but just try to incorporate movement as much as you can. Even in daytime. Like when I'm at home, walking pad when I'm working, you know, and just movement in different forms. Not just walking, you know, like lifting weights, moving your body.

[Sean Hayes]

Right.

[John Gabris]

Contracting your muscles. Dancing. Love dancing.

[Sean Hayes]

You're a dancer. So when did you become. Were you a dancer before you were a cardiologist? When would you say you probably born a dancer, right?

[John Gabris]

I guess I was, yeah. Born a dancer. I've been dancing all my life. Like, I was in a dance team in college.

[Sean Hayes]

Oh, hell yeah. Wow. Where'd you Go to school. I'm gonna ask that again.

[John Gabris]

Yeah. University of Matthews and Amherst.

[Adam Pally]

Yeah, that's where my sister went.

[Sean Hayes]

My sister went.

[John Gabris]

Awesome. But yeah, so I like co founded a dance team there. It was like a competitive Bollywood fusion team. Cool and hip hop.

[Adam Pally]

Wow.

[John Gabris]

Super fun. I'll have to teach you guys some Bollywood.

[Sean Hayes]

Yes, I would love to. I would love to learn some.

[Adam Pally]

I mean, but that's my cardiologist. Oh, good. You need to get your blood pressure checked. No, actually I'm going to learn a Bollywood.

[Sean Hayes]

But that's, that's a, that's. That sounds like an exercise in and of itself. Oh, yeah, you're dancing, you're. You're working out.

[John Gabris]

Oh, yeah. And I actually used to be. Well, I'm also a dance instructor. A Bollywood fitness dance instructor.

[Sean Hayes]

You teach Bollywood fitness dance class?

[John Gabris]

I do.

[Sean Hayes]

That's amazing.

[Adam Pally]

We got to take. No joke. Yeah. I mean, I need to go to a cardiologist, but I think I'd rather do it.

[Sean Hayes]

I need to take. Do you ever tell your patients, like, you should take my class?

[John Gabris]

Oh, yeah, I do. Yeah. When I was in St. Louis where I did my fellowship, I used to teach regular classes and it was awesome to see my patients come and just kind of spread the, you know, heart healthy lifestyle to the community.

[Sean Hayes]

That's amazing. That's amazing.

[John Gabris]

Yeah.

[Adam Pally]

That's really cool.

[Sean Hayes]

Yeah. And do you find that dancing is like one of those things, like you don't often see out of shape dancers? Right. Like, it's just the fact that you're doing the activity similar to running.

[John Gabris]

Right.

[Sean Hayes]

It's like if you're doing the activity, it's the exercise.

[John Gabris]

Exactly. Yeah. I mean, I think dancing is for anyone, even if you're out of shape. I think it's just something that you do for fun if you enjoy it. That's what I say about exercise.

[Sean Hayes]

But not everybody can be on the dance team, right?

[Adam Pally]

Yeah, you got to get.

[John Gabris]

You got it. Yeah, exactly.

[Adam Pally]

But you can dance, dance £30 off. I feel like you can dance yourself clean.

[Sean Hayes]

Of course, if you're listening to sound system or Robin. What kind of music do you like to dance to?

[John Gabris]

Bollywood.

[Sean Hayes]

Only Bollywood.

[John Gabris]

Bollywood bungra, which is a special form of music that originates in North India. Punjab. And it's just high energy, very high energy. A lot of jumping. Just the music is like super.

[Sean Hayes]

Can you pull some up on your, on your phone? Do you have your phone on?

[John Gabris]

Yeah.

[Sean Hayes]

Can you pull some up?

[John Gabris]

I have my phone.

[Sean Hayes]

But I just want to hear it. Oh, yeah, yeah.

[Adam Pally]

I like it quick aside about Punjab. My last name is Gabrius G A B R U S. And then every time my Google alert goes off, it's either for me or for a group of Punjabi guys. Hanging out. Is the word Gabru. G A B R U means something in Punjabi. Because I'm constantly being like, hashtag Gabrius at Gabriel. It's always Indian guys and they're always like. And I think Gabru on light research means like, dude or bro.

[John Gabris]

Yeah, I think. I think it's like a common name in Punjabi. Like common, like last name or.

[Adam Pally]

Yeah, that's so funny because I get. I'm constantly like, oh, Gabrius. What does this person do? This person's. This person is Gabris on Instagram as well. Let me click on it.

[Sean Hayes]

But it's actually like being named Smith.

[Adam Pally]

My last name. Turns out it's like I'm stolen Indian valor.

[Sean Hayes]

Yeah, well, I would believe that. I would 100 believe 100 believe that your family is stolen Indian Valley. That's right.

[Adam Pally]

I mean, I'm from Long island, so it might be Native American valor stuff. For real. Dr. Amar, I suffer from or deal with high blood pressure.

[John Gabris]

Okay.

[Sean Hayes]

Same as I.

[Adam Pally]

And so does he. And I'm on some medication for that, and obviously, so am I.

[John Gabris]

Okay.

[Adam Pally]

And I'm. And I know, I know all the tips or I know what you're supposed to do, but if any of our listeners are dealing with high blood pressure, too, what would you. Before medication, what would you recommend to your. To a patient?

[John Gabris]

For sure.

[Adam Pally]

Yeah. Yeah. And obviously, this is a not, you know, this is a comedy podcast. You can't shoot any.

[Sean Hayes]

You're a doctor. You're not an expert. Yeah.

[Adam Pally]

Yeah.

[John Gabris]

Right. So, yeah, I mean, honestly, before anyone, before I start anyone on medications, I always do lifestyle modifications first. Diet and exercise is probably one of the best way to reduce blood pressure. Weight loss has tremendous effect on blood pressure. So even if you lose 10 pounds, it will drop your blood pressure at least 20 points.

[Adam Pally]

You know, I probably have like 50 pounds to lose, too, and that, like, that can drop my blood pressure madly.

[John Gabris]

No, it's definitely beneficial. Diet, what you eat actually is very important too. Right. So if you're eating a lot of high salty foods, a lot of processed foods, I mean, all this is going to raise your blood pressure, and blood pressure is a major risk factor for heart disease, you know, so if you get that in check, you're actually reducing your risk for heart disease. So.

[Adam Pally]

And my family has a history of heart disease as well, too. So it's like I'm. And I just did the calcium scan, and I have some plaque, like some.

[John Gabris]

Calcium in your arteries. Yeah.

[Adam Pally]

And so that's. Is that something I can't really undo, Right?

[John Gabris]

Yeah, it's hard to undo it. But I think if you stay on top of it and continue to do these preventative measures, you can actually prevent the progression of it or prevent it from getting worse. So basically, the scan that you did, which is awesome, it looks at the calcium, you know, the calcified plaque in your arteries, you know, and as we age, I mean, it's inevitable. Like, you're both. You're gonna get some.

[Sean Hayes]

And see, I'm okay right now because I floss.

[John Gabris]

You floss my heart.

[Sean Hayes]

I floss my heart. I take a long sausage, put it in my mouth, I make a small incision in my ribcage, and I just kind of wash like a cartoon cat out of a. Out of a barrel, and then I pull it out of my mouth, and then I eat it.

[John Gabris]

Oh, my God.

[Adam Pally]

No, but avoid salty foods, avoid processed foods. Losing weight in general.

[John Gabris]

In general, exercising is incredibly.

[Adam Pally]

And in the traditional cardiovascular sense of like, getting. Getting a sweat and getting your out of breath and getting a heartbeat.

[John Gabris]

Exactly. Yeah. What I would recommend is, like, modern.

[Adam Pally]

Recommend me Bollywood dancing for sake.

[John Gabris]

Bollywood dancing.

[Sean Hayes]

I knew it was coming. Here we go.

[Adam Pally]

I could refer you to Bollywood.

[Sean Hayes]

This one's got a side Hustle.

[John Gabris]

Donkey brew.

[Adam Pally]

Gotta do some B just so I can pull it off. I'm not. Adam's, like, surprisingly good at it.

[Sean Hayes]

Where'd you go to college?

[Adam Pally]

Adam keeps reliving like he's in a memento condition. He's lacking.

[Sean Hayes]

My sister went there. That is good to know that those lifestyle changes without taking medicine can be. I feel like I have. I have a different thing than gebru, which is genetics are really, really.

[Adam Pally]

I think my genetics are up against me too, here.

[Sean Hayes]

But mine. Mine are. Mine are so bad that even in spite of a healthy lifestyle, healthy diet, working out, the number is still higher. Not terrible, but still higher than. Than you want it.

[John Gabris]

Right.

[Sean Hayes]

And so it's like, then you have to take medicine.

[John Gabris]

Yeah, right, Absolutely. But, you know, they've actually done research on looking at genetic risk. Right. There's a study that looked at different genetic risk populations, low, intermediate, and high. And they actually found that the high genetic risk risk actually benefit the most through lifestyle. So it's going to be lower than, you know, a normal, you know, individual or intermediate.

[Sean Hayes]

Right. I think the question is, like, Is my normal higher than someone else's normal because of the way I. Because of my genetics? You know what I mean?

[John Gabris]

Yeah.

[Sean Hayes]

Like, is my baseline higher than normal and is that not good?

[Adam Pally]

Does stress and anxiety play in the high blood pressure for sure?

[John Gabris]

Yeah, stress and anxiety definitely does. And stress, actually it affects the blood pressure, you know, as well. And that obviously again, it's a risk factor. So as much as you can kind of reduce your stress, that will kind of cause less strain in your heart. That's probably lower your blood pressure.

[Adam Pally]

Please a video editor. Fade to black. Underneath me and Adam, stress ain't going down anytime soon.

[Sean Hayes]

And is. And it's chill to do coke, right?

[John Gabris]

Definitely don't do coke.

[Sean Hayes]

Okay. All right. Now it's chill to do coke.

[John Gabris]

Got it.

[Sean Hayes]

We're right.

[Adam Pally]

Adderall. As I always say, I'm a fat comedian, so I won't do speed.

[Sean Hayes]

What about Adderall?

[John Gabris]

Well, if you're using Adderall for, you know, prescribed condition adhd, then it's, you know. Okay.

[Sean Hayes]

Consult with your psychologist.

[John Gabris]

Consultant. Exactly.

[Adam Pally]

If you're blasting a rail of it.

[John Gabris]

To finish a paper or to. As long as you're doing it under supervision and not just taking it, you know, is it true if you put.

[Sean Hayes]

It in your butt, it'll work better and quicker?

[Adam Pally]

Well, give me a half hour, I'll let you know. It will save faster. Only the best will do for mom. So make Whole Foods Market your Mother's Day destination. Shop the floral department for vibrant blooms like tulips, orchids, peonies and expert crafted bouquets.

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[Adam Pally]

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[Adam Pally]

In store and online.

[Dr. Amar]

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[Adam Pally]

The new McCrispy strip is here. Dip approved by Ketchup Tangy barbecue Honey mustard, honey mustard, Sprite, McFlurry, Big Mac sauce, double dipped in buffalo and ranch.

[Sean Hayes]

More ranch and creamy chili McCrispy strip.

[Adam Pally]

Dip now at McDonald's.

[Sean Hayes]

So. But you're also a young guy, right? And you're. You're. Are you married?

[John Gabris]

No.

[Sean Hayes]

So that's an aura ring.

[John Gabris]

That's aura ring, yeah.

[Sean Hayes]

So you forgot to tell us that when you were talking about what you're doing to stay alive. So that's.

[Adam Pally]

I've seen a gold aura ring before.

[John Gabris]

Yeah, that's pretty bad, my man.

[Sean Hayes]

What's in that? Lift up that sleeve for a second.

[John Gabris]

This?

[Sean Hayes]

Yeah, the one. That one with the bracelet. Look at that. Cool bracelet. This guy's got accessories to the moon man.

[Adam Pally]

I like that. It's not blingy, but it looks good.

[Sean Hayes]

The gold aura ring. I like the gold. Yeah. Because my friends that have order.

[John Gabris]

Do you have one?

[Sean Hayes]

I don't have one. I. I want. I'm. I'm leaning towards getting one. Two of my best friends who are separate Casp and Doug, who are two of my best friends in different social circles, have now their kids now go to school together, and they are now friends, and both of them, last week when I saw them, had aura rings on. So I'm leaning in that direction. Yeah, I would definitely do it if they paid us to.

[Adam Pally]

Yeah. And promo code, staying alive to get your discount.

[Sean Hayes]

In case it works. But, like, do you like it? What does it do?

[John Gabris]

No, I like it. So, I mean, I'm a health data guy, right. So as much data as I can about my health would be helpful. I like this more for sleep. You know, I use, like, Apple watch more for, like, counting my steps and, you know, things like that. But. But this is really good for sleep habits and, like, knowing how much sleep I'm getting, if I'm restful, my sleep score. Try to optimize as much as possible because my sleep right now, like, sucks.

[Sean Hayes]

Yeah.

[John Gabris]

I'm trying to, like, that's something better.

[Adam Pally]

At something we're talking about. But it's kind of like a new frontier in fitness. People are finally really getting around to being like, I think sleep is integral for our survival.

[John Gabris]

It's so integral. Yeah, absolutely. Are you for heart health? Especially for heart health.

[Sean Hayes]

I'm getting better at it.

[John Gabris]

Yeah.

[Sean Hayes]

I had two young kids back to back in my young 30s, and it me up, like, couldn't. Could not sleep for 10 years, and now I'm, like, starting to, like, get. Get it back a little.

[John Gabris]

How many hours are you guys, like, aiming for? Like, what are you guys aiming for?

[Sean Hayes]

8. I'm getting 6, and sometimes I'm getting 5.

[Adam Pally]

I'm trying to be in bed for 8 to 9.

[John Gabris]

Okay.

[Adam Pally]

Hours and hopefully getting 7ish to 8 hours of sleep.

[John Gabris]

That's a magic number. Like 78. Anything less increases your risk. Anything more than 9 hours actually increases your risk.

[Sean Hayes]

Oh fuck. Do you need it consecutively?

[John Gabris]

Consecutively, Yeah. I mean it's really just like your overall. Even when we're talking about diet and exercise and diet. Right. And sleep, it's just the overall habit and overall pattern.

[Adam Pally]

Right. Like if you end up one night not getting eight hours, you know, just get it back to normal.

[John Gabris]

Right, Just get it back to normal. Just be consistent with any of these habits that we talk about. Is really just the consistency of it.

[Sean Hayes]

We just take anything to sleep.

[John Gabris]

No, I do drink sleepy time tea.

[Adam Pally]

Oh yeah.

[Sean Hayes]

Just in the future.

[John Gabris]

Yeah, that's.

[Sean Hayes]

Yes.

[John Gabris]

Yes.

[Adam Pally]

No, I don't. Besides sleepy time tea. Two indica joints. Yes.

[Sean Hayes]

I drink sleepy time tea because it would be tough as a doctor to be like, is my heart okay? Yes. Two of the ventricles are clogged to the moment.

[Adam Pally]

Your vena cava is bite biter.

[Sean Hayes]

So. Okay. So sometimes you wake.

[John Gabris]

Where do you get that?

[Sean Hayes]

Can you get that? Just like the Duane reade.

[John Gabris]

Yeah.

[Sean Hayes]

I'm always looking for like a little bit of a put down.

[John Gabris]

Yeah.

[Adam Pally]

Well, I think I got into chamomile tea for a little while because this is not the doctor's opinion, this is mine. Pairs well with cannabis. So I like a little indica joint and a little chamomile tea to have like something that's non alcoholic or whatever and that starts to wind me down. Then I started to realize the tea becomes part of the ritual. And even if the chamomile itself isn't helping me go to sleep, the idea that it's like it's tea before bed, like that kind of started to help me understand. My body starts to be like, oh, we're winding down.

[John Gabris]

Exactly.

[Adam Pally]

And then it's the same shit we always talk about, about your like morning routine to get your day popping off.

[John Gabris]

Right.

[Adam Pally]

I forget that you can have one to end your day too. Oh yeah, I'm trying to add flossing to that.

[John Gabris]

Yeah, yeah.

[Sean Hayes]

No, I'm gonna get this. Nighttime. Yeah, yeah. So like you're not doing any melatonin? Any cbn?

[John Gabris]

No, I have done melatonin just when my sleep schedule is like completely jacked up.

[Adam Pally]

Because as a doctor your schedule can get nuts.

[John Gabris]

Yeah, for sure. Depending on if you have to do.

[Adam Pally]

Stupid podcasts in the middle of the day and stuff.

[Sean Hayes]

Yeah, you should be dancing right now.

[John Gabris]

Dancing.

[Sean Hayes]

So what are some things that you. What I was getting before by being like, you're young and like, like, where do you fall off the, the, the heart health wagon? Like, what are some challenges for you as a young guy who's also a doctor, Right. To like, go out and live?

[John Gabris]

Yeah. I mean, challenges like. And this is a reason why I kind of transform my body and try to get back in shape. Because I did my lab work and I looked at my cholesterol levels. They were okay. But I did something called an advanced lipid biomarker. It's called lipoprotein little A. All right. And it's a little different because lipoprotein little A, it's unique because it is genetically determined. Right. It's not like ldl, which is kind of like the bad cholesterol, and it's not. Lipoprotein little A doesn't have that much influence with diet and exercise. It's kind of just stable. It's genetically predetermined. And that was elevated for me, you know, even at like, like 30 years old, 35 years old, fairly healthy. But because of my genetics, you know, South Asians are actually known to have two to four times higher of this lp.

[Adam Pally]

Oh, wow.

[John Gabris]

So I was like, wow. Like, Even though I'm 30 years old, 35 years old, I am still at a higher risk, you know, and that, that was kind of a wake up call. I was like, wow, like, if I don't change my habits and do all the things I tell my patients to do and preventative stuff, I'm gonna, you know, eventually have an increased risk of a heart attack back and Geez. Yeah, so that was kind of.

[Adam Pally]

And like, you can't really move that number because of like the. It doesn't be, it's not affected by lifestyle.

[John Gabris]

Exactly.

[Adam Pally]

You might as well buttress everything else up and get everything else locked.

[John Gabris]

Exactly, yeah.

[Adam Pally]

Locked in, yeah.

[John Gabris]

Locked in, yeah. So even if that number is high, like, like you mentioned, like, you have a high genetic risk. Right. But you could still control all the other things that are modifiable. Right. So when we talk about heart disease, we're talking about non modifiable risk and modifiable. So like modifiable is like things like high blood pressure, high cholesterol, your weight, physical inactivity, things like that, that increase smoking. You know, if you smoke, I would definitely, you know, stop smoking. That's like one of the most preventable things. Causes of death.

[Adam Pally]

Yeah, well, like I say to my other doctors, when they ask, do you smoke? I go, not cigarettes, cigarettes. And then I look at them like for a minute, like, am I in trouble? Shout out, Dr. Pardo. Thank you, bud.

[Sean Hayes]

Yeah, I don't smoke. Cigarettes.

[John Gabris]

Cigarettes.

[Sean Hayes]

I'm consistently smoking weed. Should I be eating it? Don't do anything with it.

[John Gabris]

Don't try to do it.

[Adam Pally]

Yeah. You know what I recommend to help you quit weed? Have you tried Bollywood fitness dancing? All right, we get it, Dr. Amar.

[John Gabris]

I prescribe that to all my patients.

[Sean Hayes]

Yeah, I would do it. I just don't trust where you went to school.

[Adam Pally]

Well, you don't know.

[John Gabris]

You don't know yet.

[Sean Hayes]

Right when I'm waiting for you to tell me.

[John Gabris]

Where'd your sister go.

[Sean Hayes]

I wonder. How old are you?

[John Gabris]

30?

[Sean Hayes]

36. 36. Yeah. And where'd you go to school?

[Adam Pally]

Your nose is bleeding.

[Sean Hayes]

Are you okay? Oh, no, no, no. That's grape jelly. I had a blast. Crustable.

[Adam Pally]

A blasted a pop Tart before I came out here.

[John Gabris]

Oh, my God.

[Adam Pally]

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[Sean Hayes]

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[Adam Pally]

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[Dr. Amar]

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[Adam Pally]

So for you, do you. Do you have any. Like Adam was saying, so you saw that, you knew you had to make some changes. Do you struggle with any of like, oh man, I. I just want to have mozzarella sticks or I guess you're vegan, so I just want to have a faux Sorella.

[Sean Hayes]

Do you drink?

[John Gabris]

Yeah. I don't drink. Not anymore. I used to drink. Yeah. Once I kind of started on this, like, health transformation journey, I was just like, look, I'm just gonna completely stop alcohol and see what this does.

[Sean Hayes]

What was your choice?

[John Gabris]

Like, old fashioned.

[Sean Hayes]

Old fashioned. So let me ask you a hot question. Medication.

[John Gabris]

Sure.

[Sean Hayes]

So I've heard a lot of things about statins and. Yeah. Are you pro or negative stat?

[John Gabris]

Pro. Statin. As a cardiologist, yeah. If you need it, I definitely recommend it. And obviously I always recommend lifestyle. You know, diet and exercise can definitely work well together. Work well, yeah. But for certain people, they just need a statin, you know, and we have a lot of good data showing that it helps reduce your cholesterol, reduce, you know, cardiovascular events. And so I'm definitely pro statin.

[Adam Pally]

So if my cardiologist determines that my plaque number, my CAT scan number is a little too high, I might be on. Go on.

[John Gabris]

You might probably. Yeah. You could potentially benefit from it. Right. And that can actually added to lifestyle and diet and exercise, that can actually help prevent the progression of this plaque.

[Adam Pally]

Yeah, I like, dream of getting it. I like, fantasize about getting my ass in gear enough that I can get off blood pressure meds because taking those two pills every morning makes me piss so much for like, one hour that it's, like, getting in the way of, like, my try.

[Sean Hayes]

I'm telling you, I'm on blood pressure.

[John Gabris]

Okay.

[Sean Hayes]

The one without the diuretic, I might have to.

[Adam Pally]

I might have.

[John Gabris]

Oh, yeah. There's different types.

[Adam Pally]

Yeah, I'm on. I'm on two different ones, and one of them is also two different medications. So it's like three.

[John Gabris]

But there's.

[Sean Hayes]

But. But there are.

[Adam Pally]

There's amlodipine and olmesartan.

[John Gabris]

Sure, yeah, yeah, yeah.

[Sean Hayes]

I don't know.

[Adam Pally]

Hydrochloric.

[John Gabris]

Hydrochlorothiazide, which is the diuretic.

[Sean Hayes]

Yeah, that's because I was. I was. I. When I first went on one.

[John Gabris]

Yeah.

[Sean Hayes]

About a year ago, I was getting so dizzy every time I got up, I was like, passing out. And so I. I was like, I just can' this. And my doctor was like, there's always another option. You know, you don't just, like, pull the trigger.

[John Gabris]

Exactly.

[Sean Hayes]

You can find something that you're not pissing.

[John Gabris]

Right.

[Sean Hayes]

So you don't. You don't drink, do you?

[John Gabris]

Do.

[Sean Hayes]

Are you into, like, psychedelic therapy at all? Anything like that?

[John Gabris]

Do not.

[Sean Hayes]

You live a pretty clean lifestyle?

[John Gabris]

Pretty clean lifestyle now. Yeah.

[Sean Hayes]

Do you have any family members that died young?

[John Gabris]

No.

[Sean Hayes]

So this was really just like, I'm worried about myself. Yes. That's really commendable and brave.

[Adam Pally]

Well, that's like, not to keep using the word medicine and. But this is more in symbolic. This is where you were like, I should take my own medicine.

[John Gabris]

I'm telling these people to make their.

[Adam Pally]

Lifestyle changes, for sure.

[John Gabris]

I mean, I've had family members that have died with, you know, heart disease for sure. It runs in my family, especially on my dad's side. But for me, it was like seeing all this in the hospital. Right. Like, in the hospital, I'm seeing, like, the sickest of the sickest patients as a cardiologist. Right, right. Patients coming with heart attacks, needing medication to, you know, keep their hearts pumping, machines, things like that. And I'm like, wow. Like, this is. This is, you know, kind of eye opening and just devastating to kind of see. And I don't want to end up like that. And if I can do something to prevent it and also just kind of be a role model for my patients. Right. Like, I don't want my patients to come to me and be like, oh, Doc, you're telling me to do all this stuff, but what are you doing? Like, I'm like, literally telling them, like.

[Sean Hayes]

No one wants a fat trainer.

[John Gabris]

No one's.

[Adam Pally]

Yeah, I have a little bit of an issue with the weight thing because I'll frequently be at the doctor's office and I'll be like, yeah, blah, blah. And they're like, well, you know, if you lost. And I'm like, I fucking know. Like, I cannot hear this right now. Yeah, it's a thing that a lot of us heavy people struggle with is. Yeah, no, I know, Doc, I know. But also, there's something else going. Like, clearly I. Or I. I skip this, like, don't eat. You know, my. I remember this. What are they called? The. The assistant. The. The assistant physician was like, well, you know, even one less drink a day can really help. And I'm like, I know. Bring in my doctor.

[Sean Hayes]

I don't want to talk to you for sure.

[Adam Pally]

And since I'm my family's nurses, I was like, you could put the yellow dot on my chart. I'll be a difficult patient. Mark me up. I am, but I never want to speak to you. You again.

[Sean Hayes]

I know. No, no, it's like the. The. The condescension of medicine can be. Can be really off putting, even as a doctor's son. Like, the. The. Because my. My dad is. Is super healthy, does not drink just in insane shapes and like, it's condescending when, when they're like, it's simple.

[John Gabris]

Right.

[Sean Hayes]

You know, and I think that that is a message that turns people off because if it was so simple, I would have done it already. You know, like my. Everyone's lifesty. Not all programmed to like give something up. We like.

[John Gabris]

Exactly.

[Sean Hayes]

It's like, that's harder for people.

[John Gabris]

No, absolutely. And I empathize with that because even like after going through this, I feel like I'm better at counseling, educating my patients because I've been through it. Right. And I never, even though I'm walking, Walk the walk. Yeah. And even though I'm vegan for 12 years, never have I ever made someone feel like they need to adopt a vegan diet. You know, everyone's lifestyle is different. And I feel like any diet or lifestyle can be made heart healthy. You know, it's not like one size fits all right. There's no one diet or one food or one thing is going to cause disease, you know, And I think that's important for patients to know. And I try to, you know, emphasize that with my patients too. I'm like, hey, look, just start somewhere. I know this is difficult. It's very complex. Even when it comes to like weight loss, like when we're talking about obesity, like, like it's a chronic, complex condition and there's a lot of factors. It's not like, oh, just exercise and diet. You know, people have soda.

[Adam Pally]

I'm like, I don't drink soda. I don't drink alcohol.

[Sean Hayes]

It's like, yeah. Are you pro? Are you pro the new weight loss drug?

[John Gabris]

I am, yeah, I am, yeah. As a cardiologist, I am. Because it actually has indications for preventing heart disease. And you know, as well, it's kind.

[Sean Hayes]

Of my father's is kind of like a miracle drug in a lot of ways like that. And he is upset about it. Not in a. He's not like marching the streets, but he goes to so many medical conferences and like he's very into like the state of medicine and he thinks that the. I don't want to step on, say anything like wrong, but I'll use his words. He thinks like the Kardashification of the drug in the beginning. Right, right. Was detrimental and will cause deaths because people were so stigmatized to it and.

[Adam Pally]

They might not take it that they.

[Sean Hayes]

Might not take it. And he's like, literally every second could save a life if they go on this life saving drug. But people won't do it because they're like, well then I'll have to tell people. And then, then, then it'll be, well.

[Adam Pally]

There'S that element of like, people will accuse you of like taking, taking the easy way out or the cheat or whatever, you know, and like, and that's in my head too, because I, I am considering doing one of these.

[Sean Hayes]

My doctor prescribed it to me. I'm taking it.

[John Gabris]

Yeah.

[Sean Hayes]

Like, yeah. Because just for the, what you said.

[John Gabris]

Thank you for sharing that. Yeah.

[Sean Hayes]

Yeah. It's like, no way would I give up the chance to prevent heart attack and stroke because I'm afraid that someone's gonna be like, oh my God, why does he look like. I don't give a. I don't care.

[Adam Pally]

Yeah. I have some follow ups with my docs in April and we're, we're supposed to have a discussion about this.

[Sean Hayes]

I'm taking it and it. As soon as I get my proper dosage and stuff under, like, and everything's like set in stone. I'm talking about it.

[John Gabris]

Yeah.

[Sean Hayes]

I'm talking.

[John Gabris]

No, it has changed the lives of so many of my patients and I talk about it regularly, you know, and that's kind of a thing that I offer. Tool, a resource. Right. I'm like, hey, you know, I'm very empathetic when I'm talking to my patients about weight loss. I'm like, hey, what have you done so far to help? And if you haven't had success, these are the tools and medications that we have that are life saving and we can put you on. Would you like to try it? You know, and, and it's been tremendous. I mean, my patients have lost significant amount of weight. They've actually, you know, reduced their risk factors. Right. It affects your lipids, your cholesterol. They've gotten off of blood pressure medications. They reverse their diabetes.

[Adam Pally]

I mean, A1C drops.

[John Gabris]

A1C drops. I mean, it's incredible.

[Sean Hayes]

Here's a question I have for it, and this may be you. We may be talking about something that's not your fortes because, you know, I don't know if the, if the weight loss, like, I, I know it's heart related, but I don't know if it's like, this is where the science. But my fear in taking it. Yeah. Is always like, I love food.

[John Gabris]

Yeah.

[Sean Hayes]

And I, and I, I love wine and I, and, and, and, and I consume it responsibly.

[John Gabris]

Sure.

[Sean Hayes]

For the most, I mean, I slip ups, but like, you know, for the most part.

[Adam Pally]

Right.

[Sean Hayes]

And like, I, I don't want to give that. I don't Want to give that.

[Adam Pally]

I don't want to experience so much joy.

[Sean Hayes]

I don't want to. To look at a hamburger and be like, I can't eat that. You know, Like, I'd rather. Rather say that because I don't want to because I'm healthy. But I don't want to lose that love. And I don't know, does it do that?

[John Gabris]

You know, I don't think it does that. I think it makes you feel. Basically what the medication does is it makes you feel fuller, faster, and it just suppresses your appetite. You know, it just kind of. It works in your brain. There's two areas of the brain that have works and it kind of suppresses these hunger signals to kind of make you eat less. Right, Right. So I think you could still enjoy and don't have to change your diet, but you may feel like you can't eat, you know, a lot. A lot. The same amount, which isn't bad.

[Adam Pally]

No, you still have a burger. Maybe not don't finish it. Maybe you don't.

[Sean Hayes]

Well, I mean, my pro. My problem.

[John Gabris]

Yeah.

[Sean Hayes]

It's like, you still have a burger. Like, Like, I went to Hamburger America. Like, you know, when I sit down at Hamburger America, that's two burgers and a sandwich.

[Adam Pally]

Wait, two people have recommended this to me. Dan Greger emailed me about this.

[Sean Hayes]

I give it to him.

[Adam Pally]

You gave it to me and him. That's what I'm saying. So then he gave it to you. We is this place.

[Sean Hayes]

It's right next to an son.

[Adam Pally]

Okay. I got to see the store.

[Sean Hayes]

You have to.

[Adam Pally]

I got to go. No, you.

[Sean Hayes]

You just go say hello and then be like, well, oh, I got to run. And then go to the burger spot. It is. I'm telling you, it's like, have you had one?

[John Gabris]

No.

[Sean Hayes]

This guy George Mots is like a, you know.

[Adam Pally]

Oh, I know Mots from Motz Burger. Yeah, yeah.

[John Gabris]

He.

[Sean Hayes]

It's like his science lab. And they're always doing new burgers, but they. They have a couple things and they have an off menu that makes me. They have an off menu of homemade white bread. He bakes it in house with egg salad and tuna.

[Adam Pally]

Oh, that sounds awesome. Let's. Yeah, we're asking the vegan burger.

[John Gabris]

Asking me about.

[Adam Pally]

I mean, possible. Right?

[Sean Hayes]

Yeah, they.

[John Gabris]

Yeah, as long as that vegan can hit that.

[Sean Hayes]

It's. It's a. It is also a problem because it's like I've gone. They serve beer and so, like, I've. I've gone in there after a dinner and A night out.

[John Gabris]

Out.

[Sean Hayes]

And had another whole dinner.

[Adam Pally]

Yeah, we had a beer and a burger and an extra 1200 calories.

[Sean Hayes]

I've never not had two burgers.

[Adam Pally]

A buddy of mine who is on Zepbound, one of these semaglutides he described, what happens mentally to him is the food noise is turned down in his head. Whereas my brain and I understand this, there's a part of my brain that's just constantly like, oh, yeah, are you getting a little hungry? Okay, start thinking about dinner, lunch, breakfast, whatever. Did you eat enough? Oh, my God, this food in front of me is not enough. Oh my God, am I going to need more? And he described that, that, that.

[John Gabris]

That shuts it off.

[Adam Pally]

Yeah, and it shuts it off. And he's. There's some constipation issues he has and some. He can't eat as much as he used to, which is a good thing. But he really discussed, like, the idea, the food noise. He's like, I can actually think more clearly separate of like, my weight loss and, and my. And he may be a guest on the show eventually, but he's lost like 30 pounds. And he is like. But more importantly, like, I'm not constantly thinking about food or about my weight. Like, it's. And that was the most, that was the most alluring thing for me when he explained that to me. I'm like, fuck, man. I do spend like, whatever. Like when you close that one app in the background on your phone or your computer, that's just like making your shit run. And you're like, oh, now when I close the YouTube, my computer runs better. I feel like if I shut this fucking voice off in my head, that's like, burger America, America Burger.

[John Gabris]

And that's been for years, sort of. It's like, hard to do just with diet and exercise. And that's why these medications are just like life changing.

[Adam Pally]

Yeah, there's some, there's some light research into it, really.

[John Gabris]

Helping with addiction, like food addiction in general, in general.

[Adam Pally]

Because it, like, it's like a little bit of the impulse control too, for sure. Yeah, yeah. So a lot of people, they're, they're doing some research on that for like helping alcoholics or drug addicts quit and stuff.

[Sean Hayes]

Yeah, yeah, yeah. I mean, it's, it's, it's. It's good to talk about it with a certified person that way. Because I do feel like if there are people out there, you know, like, there is this, this. There's a stigma, there's a negative stigma to it where it's like, you're only gonna. The people. You only take it for vanity. And you would only take it for almost like a steroid.

[Adam Pally]

It's. Or like a Botox.

[Sean Hayes]

Or like a Botox.

[Adam Pally]

Yeah, yeah. Where it's like, it's purely aesthetic, and it's like, no, somebody. Yes, maybe, maybe.

[John Gabris]

And that's what social media has done. You know, it's like, it's glamorized, this kind of, you know, Botox type of.

[Sean Hayes]

And I think there's nothing wrong with, especially as you age, which is another thing that I've noticed is that most people that are. The reason that it's big in our.

[Adam Pally]

Life is because our friends are 40.

[Sean Hayes]

Our friends are mid-40s and 50s and 60s and 30s, and they're starting to become overweight.

[Adam Pally]

Yeah. Or. Or their weight, which has always been not a big deal.

[Sean Hayes]

Right.

[Adam Pally]

It's now a doctor's going, hey, your A1C is going up your blood pressure.

[Sean Hayes]

And they go, well. And they go, well, how do I fix.

[Adam Pally]

It's less about bikini season and more about, like, I gotta.

[Sean Hayes]

And so in a. In a. In a lot of ways, it's like, I think maybe. I mean, obviously society is going to look at things the way they want, but a good way to look at it is like, isn't it a bonus that the thing that fixes our hearts makes us look snatched?

[Adam Pally]

Yeah, yeah.

[Sean Hayes]

And absolutely, you know, like, isn't that dope?

[Adam Pally]

My cardiologist said something really interesting. I'm like. He's like. He's like, yeah, look, I know. He's like, I'm going to tell you that you need to change your lifestyle and you can't just continue to be unhealthy even if you are on one of these. He's like, but I can also tell you that the semaglutide will aid you in your pursuit of a healthier lifestyle.

[John Gabris]

Absolutely. Yeah.

[Adam Pally]

And I was like, he's like, so chicken, egg. You know what I mean? Like, maybe you need this. Because I'm like, I feel like I just want to get my diet and fitness in line and see what I can do without it. He goes, yeah. He goes, you do whatever you want. You're. But this can help you make those better choices. It's hard to argue.

[John Gabris]

And it's important. Like, before I even prescribe my patients on these medications, I'm like, hey, I want you to. To. If they're not doing all the healthy stuff that I already recommend, all these heart health hacks and preventative stuff. That I preach. I'm like, hey, for a month, I just want you to get your habits in check because I don't want you to think of this medication as like a magic pill. Because once you do that, then they're still like eating the same amount. Then that's why, where they get the easy side effects of nausea and, you know, stomach bloating, things like that. So I'm. You have to find a provider that, that exactly knows how to prescribe this safely and efficiently, you know, and make sure you're.

[Sean Hayes]

What are some of those hacks that you were saying? Because, like, if you, Is there, is there a way to change? Like, what should you. Let's say you are starting it. What should you do?

[John Gabris]

Right? So I think it's just again, like changing your, changing up your diet, right? I don't want you to eat the same way I want you to. Obviously, it's going to be a lifestyle change, right. When you're on these medications, I want you to think of it as an added thing that you're doing along with diet and exercise, right? So when we're talking about heart healthy diet, right? Changing up to like a whole food, Mediterranean kind of style diet, more fruits and vegetables, less process, less.

[Sean Hayes]

Just like half the burger. It's a like, don't eat the burger.

[John Gabris]

I mean, eat the burger. But not every day. Not every day, exactly. So you could still enjoy the foods that you like, but in less quantity, right? Still like you're going to have your burger, but still like walk extra, you know, walk after your meal, get your steps in, you know, at least 30 minutes or 40 minutes.

[Sean Hayes]

Magic slime that's just going to take it and then boom, I'm 30 pounds.

[John Gabris]

Exactly. Because you got to think of it as like your medication, your blood pressure medication, right? If you stop, like eventually the goal is to not take every day, right? You don't want to be on these medications for life. But, you know, some people need to be on a smaller dose for a long time. It's a chronic condition that we're treating just like blood pressure, right? You would expect, expect to, you know, stop taking your blood pressure medications just because it's normal. It's because you're taking these medications. So it's kind of that mindset of like, hey, I'm taking this medication for a chronic condition and we need to get you to a point like a dose where you're happy with your weight loss. And another thing that's really important that I have my patients do is strength training. Because One of the side effects is muscle is muscle, muscle atrophy and loss of muscle mass. Mass. Because when we lose fat in our body, we're also losing muscle mass. So a way to preserve that. And this is why I, before I even put patients on this, I tell them to, hey, I want you to up your strength training at least two to three times a week, do some resistance training. So that way you're not losing your muscle mass. Because as we age, I'm telling you, even once you hit 30, you're losing about 3 to 5% of muscle mass, you know, per decade. And then when you hit 60, it's about 68% and then 80, it's like 10 per year. And that causes a slew of issues like sarcopenia, like osteoporosis.

[Adam Pally]

Yeah, bone. Yeah, bone issues.

[John Gabris]

Yeah.

[Adam Pally]

There's a lot of research. I just saw something the other day that is like quad strength is like a good marker for like your health later on in life. If you're in your 50s and your legs are strong, that's good because then you're, and you're all this, this doctor, Dr. Peter Attia, who I, who I really like, his lifestyle, his longevity stuff, he said this one thing that really unlocks something for me. He's like, imagine you lose half a capacity, half your capacity when you age 20 years. If you can walk four miles now, you can walk two miles in 20 years, but if you can walk 10 miles now, you can walk five. And it's like that unlocked it for me of like, he's like, it's not going to be easier to get in shape when you're 61.

[John Gabris]

That's why, why it's important to start now, you know. And honestly that's like when I'm 80 years old, that's that's like something I want to be my biggest flex. Like, I want to be like that grandpa that like deadlifts his groceries and like is able to do all these.

[Adam Pally]

Things because hey, have you ever gone to Dr. Amar? He's that 80 year old guy who teaches Bollywood. He's got his shirt off at UMass Amherst, I think.

[Sean Hayes]

Yeah, that's where my sister went.

[Adam Pally]

That's.

[Sean Hayes]

Her sister went. Well, this has been like incredibly enlightening and I hope life saving, arguably a little inspirational. And truly, again, like it's such a bummer that something that a cardiologist would prescribe. And I heard you say something in that last, in your, when you were talking that was like, are you happy with your weight loss? And I feel like even that, like some people would hear that and they would think vanity.

[John Gabris]

Yeah.

[Sean Hayes]

And they would think like, well, you know what I mean? They would be like, I'm trying to. To get into shape or I want to look better. But for a doctor, that weight loss is like blood pressure and, and really what you're saying is like, we're, we're going to attack this. This thing that could kill you.

[John Gabris]

Right.

[Adam Pally]

You referred to the adiposity in the abdominals, which is like a marker for low testosterone or heart disease.

[John Gabris]

So when we talk about that, we're talking about. So we have two different types of fat in our body. Subcutaneous, which is the one that you can actually visibly see and pinch. And then there's visceral fat, which is the fat that surrounds your organ systems. And that's like the dangerous type. That's the type that you want, like very little amount of because that increases your risk for metabolic syndromes, heart disease. And so that's kind of the dangerous type that you want to lower. And you know, doing all these heart healthy hacks and reducing your risk factors will definitely reduce that amount of fat. So. Yeah.

[Adam Pally]

Oh, yeah.

[Sean Hayes]

Well, let's go.

[Adam Pally]

I gotta go.

[Sean Hayes]

Let's go.

[John Gabris]

I got a Bollywood dance.

[Sean Hayes]

Can I hear it now?

[John Gabris]

Yeah, yeah.

[Sean Hayes]

Punch Dan, can you bring his phone? I want to hear this cuz I want to see. I also want to get a feel of like, what, the aerobic?

[John Gabris]

Oh, yeah, for sure. Oh, I'll teach you guys.

[Adam Pally]

It's high bpm.

[John Gabris]

I'll teach you. Oh, absolutely.

[Sean Hayes]

What kind of beats per minute are we looking at? Like.

[John Gabris]

Oh, probably like 150, 160. Thank you.

[Sean Hayes]

150, 160. Oh, that's like a vici. A right, like we're. We're in the club.

[John Gabris]

I'm going to teach you guys how to do this. Oh, yeah, yeah, there you go.

[Adam Pally]

I can. I can guess, like stereotype wise how to dance, cuz. From watching Bollywood movies and stuff. Yeah.

[John Gabris]

I'll teach you guys.

[Adam Pally]

Show us a little something.

[John Gabris]

Okay.

[Adam Pally]

Yeah, show us like what the basic.

[John Gabris]

Club.

[Adam Pally]

I can show for a little bit.

[John Gabris]

There you go.

[Adam Pally]

Oh, yeah, I know this one.

[Sean Hayes]

Yeah. Now I do kind of feel like I'm a grandma at a pool. It's kind of how Kendrick Lamar walked at the Super Bowl.

[Adam Pally]

Now you've done the Beyonce.

[Dr. Amar]

Yeah.

[Sean Hayes]

This is great.

[John Gabris]

Dr. Lamar, thank you so much.

[Adam Pally]

This was a pleasure.

[Sean Hayes]

This is a blast, Dr. Lamar. Thank you.

[John Gabris]

I am.

[Adam Pally]

I got my heart up.

[Sean Hayes]

Yeah. My heart rate is my heart rate is up and I'm hard.

[Adam Pally]

We gotta get to the club ASAP now, I think.

[Sean Hayes]

No, honestly, Daniel's going to be so psyched when she sees that.

[John Gabris]

Oh, that was awesome.

[Adam Pally]

Thank you so much, Dr. Mar. I appreciate you coming on.

[Sean Hayes]

You have been the, the best. Thank you.

[Adam Pally]

A.

[John Gabris]

Thank you guys so much.

[Sean Hayes]

Holy. I'm exhausted.

[Adam Pally]

I. I kind of want to just crank some Bollywood hits.

[Sean Hayes]

Oh, first of all, Bollywood is so good.

[Adam Pally]

That is fire, man.

[Sean Hayes]

That's me bumping that in my car.

[Adam Pally]

Hell yeah. Thanks. Shout out. Dr. Amar. Thank you so much. Much. Sometimes it's, it's so fun to have like a doctor on and have these like serious conversations about oic and, and or heart. Healthy hacks as he was calling them. And then it also ends with us doing a dance.

[Sean Hayes]

Yeah.

[Adam Pally]

Well, because everyone's a person, so when you find out that they're also at the dance class.

[Sean Hayes]

I'm loving this so much because like these are, some of, some of these are, are superstars in comedy. Some of them are superstars in heart health or memory or.

[John Gabris]

Yeah.

[Sean Hayes]

You know, you know, but everybody's also just a person.

[Adam Pally]

Yeah. Like a memory guy is like, I also hike Everest and our cardiologist and I drink Bollywood dancing.

[Sean Hayes]

Yeah. And an immunologist is like, oh, let me tell you where to get the best omakase.

[Adam Pally]

Like, hell yeah.

[Sean Hayes]

You know, it's like an Eggo's. Like, what's your favorite cheesesteak? Like, I just love all that.

[Adam Pally]

Yeah. I'm here for all this, so. And I honestly, I was a little inspired by our conversation with Dr. I'm, I'm going to take, I'm going.

[Sean Hayes]

To, I'm taking it.

[Adam Pally]

I'm having a follow up about the semaglutide. But also just the idea of like it's really time to think about, about, you know, this and longevity and living longer.

[Sean Hayes]

I like what he was saying that you don't have to give up because like, like I said, my fear is that I'm giving up something that I love.

[Adam Pally]

Right.

[Sean Hayes]

And like, I don't. I've already given up so many things that I love.

[Adam Pally]

Yeah. I wonder if I'll like food as much if I have two courses as opposed to four.

[Sean Hayes]

I bet you will.

[Adam Pally]

And exactly. You just enjoy the two. Like. Yeah, like you would as like a normal person, like, and not be like, I, I make myself, myself sick frequently eating.

[Sean Hayes]

Yeah. Maybe this will help it.

[Adam Pally]

Yeah. I literally.

[Sean Hayes]

I hope so.

[Adam Pally]

The frequency in which I eat to the point where I'm like, I'M actually sick.

[Sean Hayes]

I hope this helps. It be great. Yeah.

[Adam Pally]

All right. See you next week, bud.

[Sean Hayes]

Do me a favor, stay alive.

[Adam Pally]

You got it. You have been listening to Staying Alive with John Gabris and Adam Pally a Smartless Media production in association with Sirius xm.

[Sean Hayes]

Produced by Devin Tory Bryant and Anne Harris Edited and engineered by Dementore Bryant.

[Adam Pally]

Associate producer and video producer is Maddie McCann social media producer Tommy Galgano assistant engineer Kyle McGraw.

[Sean Hayes]

Special thanks to Jared O' Connell at.

[Adam Pally]

Sirius XM, executive producers are John Gabris.

[Dr. Amar]

Ooh me.

[Adam Pally]

Adam Pally. Ooh you Will Arnett, Jason Bateman, Sean Hayes, Richard Corson and Bernie Kaminsky.

[Sean Hayes]

Just so everyone knows we do not have a discord, don't reach out to us. See us on the street. Walk the other way or you'll catch hands.

[Adam Pally]

That was just like a digestion. I think I just finally swallowed a hard boiled egg from this Smart Bless me.

[John Gabris]

Foreign.

[Dr. Amar]

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