Latest / Success Story with Scott Clary / Will Harlow - Over-50s Specialist Physio (1.6M+ YouTube Subscribers) | Why Everything Your Doctor Told You About Aging Is Wrong
Transcript
- 0:00I think the tendency for us, when we're a bit younger, is to think that losing strength, losing muscle mass is just something that happens to old people.
- 0:09The truth is, it starts much earlier.
- 0:11Will Harlow has built a reputation by challenging what most people accept.
- 0:16A physiotherapist and founder behind millions of views online, he's helped people reclaim movement, reverse chronic pain, and take control of their bodies again.
- 0:25We've got some really robust research now that shows that after the age of 35, we lose muscle mass at a rate of between 3 and 8% per decade, if we don't do anything about it.
- 0:36You might be struggling to do something that you always took for granted.
- 0:40The problems I helped them with are things that they probably took for granted their whole lives.
- 0:43Until one day, those silent problems suddenly weren't so silent anymore.
- 0:48Today, he breaks down how to move without pain.
- 0:51Take back control and challenge everything you've been told about your body.
- 0:55He's showing people what's actually possible.
- 0:58Quite often it's pain, but pain wasn't where it started.
- 1:01It usually started with just a stiff joint, but I'll ignore it, it will get better on its own, and then it doesn't.
- 1:07Now research shows you can make serious progress with 20 minutes, a couple of times a week.
- 1:12By far and away, the best place to start is resistance training.
- 1:15Any muscle mass you do add to your body is directly linked to a longer and a healthier life.
- 1:30So Will, thank you for coming on, thank you for coming down to Miami.
- 1:33I want to start it off just speaking about the condition that my audiences are in right now, because my audience, they're maybe 35 to 45 years old.
- 1:43They're all sitting for 10 plus hours a day, whether or not they're at an office job, or they're building a company sometimes they're sitting more.
- 1:49They're sleeping not great, maybe five, six hours a night.
- 1:53So they're probably all telling themselves that they're fine. What's really happening to them right now?
- 1:58I think the tendency for us, when we're a bit younger, is to think that losing strength, losing muscle mass, losing mobility is just something that happens to old people.
- 2:10But the truth is, it starts much earlier.
- 2:14And we've got some really robust research now that shows that after the age of 35, we lose muscle mass at a rate of between 3 and 8% per decade, if we don't do anything about it.
- 2:27And that doesn't sound like a lot, but like anything, it compounds.
- 2:32So each decade that goes past, if you lose 8%, 35 to 45, another 8%, 45 to 55, suddenly when you're in your 60s, you might be struggling to do something that you always took for granted.
- 2:47So, nothing I focus on, even though I focus on helping people who are a bit older.
- 2:52The problems I help them with are things that they probably took for granted their whole lives.
- 2:57Until one day, those silent problems suddenly weren't so silent anymore, and have started to cause real impact in their lives.
- 3:05I think that that's incredibly scary. So you say that 8% isn't significant, but it is considering that most people don't take their health seriously even at 35.
- 3:15So, I mean, even their baseline is not significant.
- 3:19So, I know I work out more than the average person because I've been into working out and lifting weights in sports since I was a kid.
- 3:28But for the average person, I go to the gym a couple of times, but they don't have like considerable muscle mass and strength.
- 3:36They just have enough to keep healthy.
- 3:40I also mentioned before, I think my audience in particular, one fallacy that they truly believe is that they can ignore their body in pursuit of the business or building or the career they're building, and then they'll figure it out later.
- 3:55The people that you sit down with, because I think you work with an older population, so 50, 60, 70, this is what they believe their whole life.
- 4:04And then what is the condition that sort of they find themselves in when they reach out to you? What is their reality? Is it pain? Is it they can't catch their breath if they play with their kids or their grandkids?
- 4:16What is the reality of somebody who all the beliefs that I just mentioned? They live those beliefs until they are 60 or 70? What does their life feel like?
- 4:25Yeah, there's a great question, and I think that tendency to go manana, manana with your health is always there, isn't it? Because you know, we're busy, you might be building a business, you're raising a family, it's like, I don't have time to go to the gym today, I don't have time to do what I said I was going to do for my health, I'll do it tomorrow.
- 4:43But then tomorrow becomes the next day and the next day.
- 4:47Now in terms of what I see and to be honest, the average age of the person who comes into CS is 65 to 75 and quite often it's pain, but pain wasn't where it started.
- 5:00It usually started with just a stiff joint, something doesn't feel quite right, you know, doesn't feel quite as supple as it used to, but I'll ignore it, it will get better on its own, and then it doesn't.
- 5:12Or do you know what, I'm not seeing the same muscle mass in the mirror that I used to see anymore, but don't, it'll be alright, you know, I'll come to it tomorrow, I'll get into the gym tomorrow.
- 5:21But then those things quietly lead to symptoms later that we can feel, so it could be pain, so we see a lot of, you know, knee pains, back pains, hip pains, but it also could be this feeling that independence is slipping away.
- 5:33So one of the big reasons people come to see us is because they said, I'm terrified because I used to be able to get up and down from the floor, and I realized the other day that I was down on the floor and I couldn't get up.
- 5:47And people that are 65 to 75 were saying this.
- 5:51Yeah, absolutely. Even younger.
- 5:53That seems very young. It seems young, but this is the reality.
- 5:58And I had a patient who came to see me a while ago, a lady who was in her late 60s, so she was not an old lady, she was young.
- 6:07She lives alone, she was out in the garden, and she got down on to her hands and knees to pull up some weeds, right.
- 6:14She tried to get back up again and realized she couldn't get up.
- 6:18She was in the house on her own, there was no one around, so what did she do?
- 6:21She had to crawl back to the house to get her mobile phone from the table at the bottom of the garden to call her neighbor to come over and help her.
- 6:29Now she wasn't hurt, she was fine, but she was scared because she was caught off guard by this.
- 6:35She thought I never thought I would be the kind of person that was struggled to do something like this.
- 6:40So helping people to avoid getting to that point is one of my big missions.
- 6:45And the truth of the matter is that it's totally preventable.
- 6:49Like these things getting up and off the ground, getting up and out of a chair without assistance.
- 6:54Pretty much anyone can maintain that if they put into action a plan early enough.
- 7:00What's happening when somebody goes to pick up weed out of their garden and they can't get up?
- 7:05Like what is breaking in your body?
- 7:08Because that is horrifying. Like if that happened to me, I'd be horrified.
- 7:11I'd feel like, you know, I was going to ask you about the title of your book about independence and independence for life.
- 7:19But now that makes a lot of sense, just like that quick frame that you just you walk through.
- 7:25I feel like if that happened to me, I feel like I've completely lost control of my entire life.
- 7:30Like not being able to control your own body is the scariest thing.
- 7:34So when I think about when I think about people going to this episode, this show they're listening like,
- 7:41oh, you know, like I get mobility and pains in my knees and stuff like that, that sucks.
- 7:45But I don't think it really hits is something that's too stressful.
- 7:48It's just an inconvenience or an annoyance people associate with getting older.
- 7:52But this image of, you know, bending over grabbing weeds and not being able physically not being able to get up, that's actually horrifying.
- 8:01To me, I'm sure to a lot of people. Anyway, so what's happening when when like what's happening with your body when you can't get up and you can't do the thing that obviously for the past 60 years of your life was no problem.
- 8:10Yeah, there's usually three things one of three things that's gone wrong.
- 8:13So the first thing that's gone wrong is the person's lost mobility in one of those key joints.
- 8:18So typically for that lady, it was her hip or her knee that was causing the problem for her, it's her knee.
- 8:23She actually just couldn't bend the knee enough to get it underneath her.
- 8:26The knee wasn't painful. It's just that she had some arthritis in there. She was dealing with it.
- 8:31It was just causing stiffness in the mornings, which I didn't realize she actually couldn't bend it much further than 90 degrees to get it underneath her.
- 8:37So she was stuck. She didn't know. She didn't know because you don't have to bend your knee that much just to do your normal daily tasks until you're down on the floor or until you're in a very low chair.
- 8:48So you caught off guard.
- 8:50Now the second thing that can go wrong and this links to this to the loss of mobility is pain.
- 8:55So sometimes these conditions like arthritis or other injuries can cause pain and that can strip someone of their ability to do all their normal things just because it hurts too much.
- 9:04I would say the most serious one and the most insidious one is a loss of strength.
- 9:09And you know this from heading into the gym that, you know, the more you train, the more you exercise the stronger you get.
- 9:15Whereas also it works in reverse. So if you're not doing any of these things, slowly weakness sets in muscle mass is lost, but not just muscle mass.
- 9:24It's also strength as an attribute as well, the ability to move your body against gravity.
- 9:30And I've had people who've come in and not necessarily getting getting up and off the floor has been a problem but getting in and out of low chairs.
- 9:37And they're like, I want to get up, but I just can't have to use my hands or someone has to help me is because they've lost their muscle mass and their strength in their legs.
- 9:45That's horrifying.
- 9:47So this is a woman by an objective standard, not all that all.
- 9:52No, and healthy by an objective standard. If you looked at her, you would say she's fine.
- 9:56So this is as scary obviously not as the end result is not as bad, but just as scary as for example.
- 10:04You know, there's these cases of like heart conditions where you never feel any issue you and then all of a sudden you dropped out at like 45 of a heart attack and nothing felt wrong with your body.
- 10:16This is what it's giving like this is the same obviously you're not dying God forbid, but you don't see anything wrong.
- 10:23You don't feel anything wrong and then all of a sudden you try to do something that you could do your whole life and you can't do it anymore.
- 10:28So that's scary because someone's like shit.
- 10:31Well, how do I know if my body's degrading?
- 10:34Is there a test or something that people can do to just see if they're moving in the right of the wrong direction?
- 10:40Is it like an MRI, a CT, a mobility, like what's the signal that people should look for?
- 10:46That again, if right now they're listening to this and they do this thing, they're like, oh shit.
- 10:52I haven't been paying enough attention. I can clearly tell that things are not as good as they used to be, but I haven't noticed I've never done this one test before.
- 10:58Sure, absolutely. There's actually a few things they can do and they all screen different attributes and different parts of the body.
- 11:04So I'll give you a couple.
- 11:06And what I'll first say is you don't really need a dexter scanner and MRI to see these things.
- 11:11Just look at your function with these tests and that will tell you everything you need tonight.
- 11:17So some of the tests I like to tell people just to up and down from the floor test, right?
- 11:22And the way this works is you start standing.
- 11:24You get down to the floor however you want to get down there and you lie flat on your back and then you sit up and get up however you want to get up and you get to a full standing position.
- 11:34Now you want to time yourself from top to bottom to back up again and you should be able to do that in less than 10 seconds.
- 11:41Okay, so this is a really clear test people can do at home.
- 11:43Now if it takes you longer than 10 seconds, you're probably lacking mobility or strength somewhere in that full body unit.
- 11:51And the good news is those attributes can be trained and regained at any point in your life at any point in your life.
- 11:57There is no such thing as too late when it comes to strength and mobility.
- 12:01So that person that I first mentioned, the person is sitting at their desk at a corporate job or just at their home right there in the corner.
- 12:12What should they start doing if they're not actively going to the gym and then I'm going to ask you another question to about people that are active, if you're going to the gym, maybe not doing the right thing.
- 12:22So the person is doing nothing like they have been okay, because I hear this a lot.
- 12:26I hear people, I've had people on this podcast say, I'll worry about working out later.
- 12:31I'm focused on making money now. I'm building my business. I have no time.
- 12:35That can be a whole conversation but priorities and I'm a big believer that if you're in build mode, you should carve out time for other things, relationships, you know, physical health and mental health for sure.
- 12:47But say somebody is just in build mode because that happens and they're like, you know, waking up at 6 a.m. going to bed at 2 waking up going to bed just work.
- 12:56Where do they start?
- 12:58So before I tell them where to start, what I would try and do is challenge that assumption that if you're in build mode, that's all you should be focusing on.
- 13:07Because from my own personal experience, I've found that if I'm in build mode, if I still manage to find 30 to 40 minutes to work out on that day, the rest of the day is actually more productive than if I just had my head down the whole day.
- 13:21So why are you just telling yourself a story that you don't have time for it because you need to be so productive as an excuse to avoid it or is it really the case that you don't have the time.
- 13:33Now, if you can find 20 or 30 minutes per day, there's so much you can do with that short period of time.
- 13:40So this is another myth. People think, well, I don't have an hour and a half available today. So there's just no point me doing anything.
- 13:46Now research shows that's not the case that you can make serious progress with 20 minutes, a couple of times a week.
- 13:53And if that is all you have available to you by far and away, the best place to start is resistance training.
- 14:01Now, I have something I like to tell busy professionals who come to see me call the three to one rule.
- 14:07And this is a really simple way to start moving the body against resistance to make progress.
- 14:14Before I tell you more about the three to one rule, it doesn't mean you have to get in a gym either.
- 14:18You can do resistance training at home with just your body weight or a bag filled up with books or a couple of heavy things that you find in the garden.
- 14:25You don't need a gym membership for it.
- 14:27We all figured this out during COVID too, by the way.
- 14:29And it works. Like people were staying fit. Some people got fitter than they ever had been in their gardens, right?
- 14:34I was lifting up like lifting up like the 24 packs of like water bottles.
- 14:40Yeah, I was doing the most ridiculous.
- 14:42You got to get so creative, but it works, right?
- 14:44You're still moving against resistance.
- 14:46But once you figured out that you know, you don't need a gym and you can do some stuff at home, the three to one rule is you pick three exercises.
- 14:53And we try and pick something that's a compound movement each time.
- 14:57So a compound movement is anything that works multiple muscle groups and moves multiple joints in the body.
- 15:03The two part of it is you just do it twice a week.
- 15:06So it will take you 20 minutes, twice a week.
- 15:08And then the one part is each week you do it, you try and progress one thing.
- 15:14So it could be a tiny bit more weight or one extra rep each set that you do.
- 15:21Or you slow the movement down and try and improve your technique.
- 15:25Now you might be thinking, is that enough to make progress?
- 15:28Time and time again, the science shows it is.
- 15:31And just dedicating that twice a week session for a group of older people in one study, they did it for 12 weeks.
- 15:39They improved their leg strength by more than 30% in that 12 week period from the starting point.
- 15:45So it's enough to make serious progress.
- 15:47So this could be push ups, this could be something where you're working out your back, doing squats, just no weight beside your desk.
- 15:56100%.
- 15:57What is that actually doing to your body?
- 15:59So obviously muscle mass, bone strength as well.
- 16:02And is that really what is it is joint?
- 16:05Is there like what is the things that break down?
- 16:07So you know, you mentioned if you don't do any of this, yes, your muscle mass to your race, but that's not the only thing.
- 16:13Obviously that impacts your health and wellness.
- 16:16Like if you if you can't move your knee and you have mobility issues, yeah, there's muscle in there.
- 16:22But there's like other things that are causing that.
- 16:24So what are all the things this helps?
- 16:26Because if I'm thinking about from like a working out perspective, see a muscle mass, you have, I don't like listen,
- 16:32I know I know enough to be dangerous, but not as much as you are by any means.
- 16:35So obviously your joints as well, your bone and your bone density is that.
- 16:41So what are all the things that this actually does, even just doing the 20 minutes a day?
- 16:45All of the above.
- 16:46So I always prioritize resistance training because it really is the closest we've got to a magic pill for improving your health.
- 16:54So we know that resistance training improves strength and improves muscle mass, that's a given.
- 16:59But you're absolutely right, bone density as well, particularly if you're training with slightly heavier weights.
- 17:05Okay.
- 17:06Now one of the other things that people often tell me or ask me is that if I'm doing all this resistance training,
- 17:11do I need to do lots of stretching as well?
- 17:14We used to think it was the case that the more you trained, the stiffer you got.
- 17:18Because you know muscle bound, we've all heard that term.
- 17:21It's actually the opposite.
- 17:23So research shows that training with resistance is as effective for improving the flexibility of your muscles as a stretching program.
- 17:31Really?
- 17:32Yes.
- 17:33But with the resistance training, you also get the added benefits of the muscle, the strength and the bone density as well.
- 17:38So you can almost improve all your, you know, the entire musculoskeletal system with this one practice.
- 17:45The other thing it does is it improves the health of your joints.
- 17:48So we've got certain substances inside our joints.
- 17:51We've got castles, of course.
- 17:52We've also got this fluid inside as well, which is almost like the body's natural WD40.
- 17:57And resistance training increases the health of the castles and it also adds to that fluid.
- 18:03So you've got better movement of your joints, symptoms of arthritis drop.
- 18:08And you're less likely to develop these joint type issues in the future as well.
- 18:13So when people are doing this, first of all, it's great if you look good.
- 18:17But this is really not the point at all.
- 18:19This is not the point.
- 18:20The goal is to just live a healthy life.
- 18:22So you're saying that if you do 20 minutes, what was it?
- 18:25So 20 minutes.
- 18:26Twice a week.
- 18:27And this is bare minimum.
- 18:28So this is like minimum effective dose.
- 18:31So I'm not saying this is like the maximum you should do.
- 18:34But if you're strapped for time, this is a great place to start.
- 18:38And then you can add in either another session or you can extend your two sessions to 30, 40 minutes each time.
- 18:43And this would, if you fast forward a 30 year old who starts doing this,
- 18:49what does their life look like at 60, 70, 80, 90 if they're living that long?
- 18:56Hopefully everyone lives to 150, but what does your life actually looks like?
- 19:00Yeah, 100%.
- 19:01So I want to just come back to what you said before about,
- 19:05you know, we're not doing this because of the way we look, right?
- 19:08And you will get improvements in the mirror if you do this as well.
- 19:13But of course, that's not the primary benefits, almost a secondary benefit.
- 19:17However, any muscle mass you do add to your body is directly linked to a longer and a healthier life.
- 19:25So muscle mass itself, so the amount of muscle tissue on your body is independently associated
- 19:31with just about every positive health outcome.
- 19:34So less diabetes, less heart disease, even less anxiety and depression, less dementia,
- 19:39all of these things are associated with having more muscle mass.
- 19:43And it also works in reverse.
- 19:45So for every 10% drop in your muscle mass index,
- 19:48there's about an 11% increase in your likelihood of any of all cause mortality,
- 19:53so dying from any cause.
- 19:55Which is pretty scary, right?
- 19:57So horrifying.
- 19:58So what's all the other forms of, you know, working out?
- 20:02So biking, playing sports, going for runs, all these different things,
- 20:07like pure aerobic exercise.
- 20:11Where do they fit into this?
- 20:13They're great for your heart's health and the health of your lungs.
- 20:17And they're great for almost like your engine.
- 20:20So they're important as well.
- 20:22But resistance training gives you some of that too.
- 20:25Actually, probably in more measures than most people assume.
- 20:29So if you are strapped for time,
- 20:31it's resistance training's got to take priority in my mind.
- 20:34Because I don't, I think, sorry, I mean to cut you out.
- 20:36I'm just thinking about the people that I know they're a little bit older.
- 20:39They always focus on cardio, mostly cardio.
- 20:43And then we'll get, you know, I don't go to the gym as much,
- 20:45but at least I go for runs or walks or biking or stuff like,
- 20:47do you see that a lot?
- 20:48Yeah, definitely.
- 20:49And this is the thing.
- 20:50Like there's not many people who come in to see us
- 20:52who are doing a resistance training practice,
- 20:54but a lot of them are running, a lot of them are cycling.
- 20:57But they have these joint problems.
- 20:58They're still weak in the legs.
- 21:00You know, they, they, they're struggling with their upper body stuff as well.
- 21:04And the cardio aspect is great for your health.
- 21:07Like I'm not saying don't do it is fantastic.
- 21:10But it doesn't help as much with bone density.
- 21:13It certainly doesn't help as much with muscle mass.
- 21:16And it certainly isn't enough to keep you strong.
- 21:19So if you're, if you're trying to become the ultimate human
- 21:22and you want the full spectrum of health, you need both.
- 21:26But if you can only prioritize one,
- 21:28I think resistance training wins out every time.
- 21:30Do you ever wonder why people gravitate more towards cardio than resistance training?
- 21:36I think it's probably just a cultural thing.
- 21:39Who knows, so many years that we've thought that, you know,
- 21:43that's the best thing you can do for your heart and your health.
- 21:45And that's what keeps people fit in inverted commas.
- 21:48And if you wind back to the 70s and the 80s,
- 21:53all the messaging, especially for women,
- 21:56was you need to get toned by running and cycling
- 22:01and doing all this cardio.
- 22:03We now know that not only was that not helping them
- 22:06with the things that they wanted, like looking more toned,
- 22:09it was in excess.
- 22:11It was probably even damaging bone density.
- 22:14In excess.
- 22:15In excess, doing too much.
- 22:17Because then you had these people that were doing, you know,
- 22:19six, seven days a week of hard cardio.
- 22:22And that was affecting them hormonally.
- 22:24They were getting actual muscle and bone tissue breakdown
- 22:27from doing too much.
- 22:29That's so interesting.
- 22:30So I think we've come a long way.
- 22:32But particularly in the population I treat,
- 22:34yeah, cardio is still way more popular than resistance training.
- 22:37I mean, I mean, you have exposure to way more,
- 22:40another sample size than I do, but just like anecdotally,
- 22:42the people that I know that are older, they all do cardio.
- 22:44And they always make excuses as to why they don't go to the gym.
- 22:47Like, ah, well, at least I go, you know, for runs.
- 22:49Yeah.
- 22:50Very, and so I've always, I can't remember where I heard this.
- 22:53The number one predictor of longevity
- 22:58is your VO2 max and your ability to basically lift something heavy.
- 23:04Yeah.
- 23:05But I think that is misunderstood as, you know, weight lifting
- 23:11doesn't contribute to my VO2 max at all.
- 23:14Does it?
- 23:15It does.
- 23:16And actually, let me rephrase because I go to the gym
- 23:20and there's definitely ways that I can work out and lift
- 23:23where I am not out of breath.
- 23:25And then there's ways that I work out where I'm definitely out of breath.
- 23:28And I guess really the answer is like, what are your goals?
- 23:32But because a lot of strength coaches and lifting coaches
- 23:36will not tell you to like lift in a cadence
- 23:40that's going to elevate your heart rate to the same degree
- 23:42as like a low state cardio.
- 23:44They'll say they take like long breaks and stuff.
- 23:46But would you say for the average person,
- 23:48it actually makes a little bit of sense to increase the, I don't know,
- 23:53increase the, what's the word I'm looking for?
- 23:58The tempo, yeah, that's the perfect word of your lifting.
- 24:01Yeah, I think you get both benefits out of sort of like one gym session.
- 24:04I think it's good to mix and match and to have a variety.
- 24:08So there's definitely some benefits of increasing the tempo
- 24:12and fitting more into less time, not least,
- 24:14because you get the same amount of work done in less time.
- 24:16So if you've got your busy professional,
- 24:18like a hit workout or something like that,
- 24:20which involves some element of lifting weights
- 24:23is a brilliant way to tackle both things at the same time.
- 24:27But the positive improvements in VO2 max are underestimated
- 24:32just from the typical three sets of 10 type gym work.
- 24:36That will still improve your heart and lung health to a degree.
- 24:39Not quite as much as the hard cardio,
- 24:41but you still do get that benefit.
- 24:44And people that resistance train often,
- 24:47independent of any other type of exercise that they do,
- 24:50they do have lower rates of cardiovascular disease,
- 24:53they do have better blood pressure,
- 24:55they do have better blood sugar control.
- 24:57So all of these things that are big health risks
- 24:59are definitely controlled to a degree by resistance training alone.
- 25:03Other things that I think people understand now are very beneficial to their health.
- 25:07So I'm just curious about what else you recommend in terms of diet.
- 25:11Like a moderate protein or a higher protein,
- 25:14obviously a certain amount of sleep as well.
- 25:16Like one of the other things, you can just go through a list
- 25:19so people understand the things that they should pay attention to
- 25:21based on like all the people you've worked with.
- 25:23If you're going to talk to a 25 or 30 or 35 year old, say,
- 25:26hey, this is how much you should sleep.
- 25:28This is what you should generally eat.
- 25:30This is what the rest of your life should look like on top of the resistance training.
- 25:33What would be the advice?
- 25:34Yeah, so I keep it very general when it comes to diet,
- 25:36because I'm not necessarily the diet guy, more of a movement guy.
- 25:39But when it comes to diet, one of the big building blocks
- 25:42that we know is so important now is protein intake.
- 25:45And I was really pleased to see that quite recently,
- 25:48the US government changed their guidelines to increase
- 25:51what they recommend the population should get in terms of daily protein intake
- 25:55from 0.8 grams per kilogram per day,
- 25:59which is tiny amount up to 1.6.
- 26:02So they essentially doubled it.
- 26:04Now this is very much evidence-based.
- 26:07We can see it in the research that people that have this higher protein intake,
- 26:12it's sparing of muscle.
- 26:15So even if you're in a calorie deficit or you're unwell
- 26:18or you're not able to train,
- 26:20if you have a higher protein intake,
- 26:22this muscle loss with age we call sarcopenia is much less.
- 26:26And then if you combine it with resistance training,
- 26:29it's like really pouring gas on the fire, right?
- 26:32It makes it much more effective.
- 26:34You'll build more muscle and you'll stay stronger.
- 26:36So hitting those daily protein targets is really, really important.
- 26:41And then I'd also say that the older someone gets,
- 26:44the more important it is not to cut your calories too low.
- 26:47But there's a lot of diet culture around,
- 26:49and it often revolves around these crash diets, doesn't it?
- 26:52Of people saying, right, I'm going to be super restrictive for six weeks.
- 26:56Well, even with peptides now, people are trying to figure out
- 26:58they don't feel no hunger ever.
- 27:00Absolutely.
- 27:01So I mean, this is one of the things that's come out with these GLP ones,
- 27:04is the fact that people are so effective that people aren't hungry,
- 27:09they're not hitting their protein intake.
- 27:11And they're actually losing a lot of muscle alongside the fat too.
- 27:14But you can have the same effects from a diet if you're too aggressive with it.
- 27:18So not dropping into too dramatic of a deficit is really important
- 27:21for maintaining that muscle mass.
- 27:23So kind of that, that's as far as I go with diet.
- 27:25And there's much whole foods as opposed to artificial foods.
- 27:30That's also really vital as well to keep you healthy.
- 27:33When it comes to sleep,
- 27:35there's a weird myth out there that the older we get, the less sleep we need.
- 27:40That's actually not true.
- 27:42So everyone needs seven to nine hours of sleep each night, no matter your age.
- 27:46If you're a teenager, actually, you need slightly more.
- 27:49But any adult, seven to nine hours, 99.9% of people need that to stay healthy.
- 27:55There's some strange genetic variants where they can run for life off like five hours of sleep.
- 28:00That's not the norm.
- 28:02And if you are running off that much, chances are your health is impaired in some way.
- 28:07Now, one of the catch 22s of that, a cruel irony is the older you get,
- 28:11the more sleep interruptions there are, sleep quality drops.
- 28:15You have to work harder to get that good quality sleep.
- 28:18But still obviously, but I didn't know that was the myth that I didn't know that people believe that.
- 28:22That you needed less sleep as you get older.
- 28:24But I actually have heard this from people because I think there's a variety of things that
- 28:28wait you up at night, whether or not you have to go to the bathroom more,
- 28:31or your kids are waking you up, like there's always something, right?
- 28:34But I have heard that from guys that were like 65.
- 28:38I remember this.
- 28:39The second you said that there's one guy six out of used to work with this guy.
- 28:42I was very early on my career and he's like, yeah, I sleep like three, four hours a night.
- 28:45And to me, that was just like, like mind blowing and he's like, no, no, I'm fine.
- 28:49I feel like he's not fine.
- 28:51I feel like he's not fine at all.
- 28:53But that was like just a norm.
- 28:55I don't know what's going on underneath the hood.
- 28:57But he was okay with that, or he thought he was okay with that.
- 29:00Interesting.
- 29:01Your patients who age well versus the ones who don't, outside of doing all these things,
- 29:08like taking action and taking your health into your own hands and resistance training and sleep and diet.
- 29:14What's one belief that actually separates them?
- 29:17I think it comes down to consistency.
- 29:20And the people who do well initially and then they drop off,
- 29:25or they have recurrent problems that they're kind of making progress with.
- 29:30And then they go back to square one.
- 29:32It often comes down to not being able to be consistent.
- 29:35And the people who do really well.
- 29:38They've stayed consistent for such a long time that doing the thing becomes part of their identity.
- 29:44And I think this is a really important point for anyone who's trying to stick with anything.
- 29:48The longer you're able to push through that first six, 12, 18 weeks where it feels really tough,
- 29:54the more chance you have of this becoming just something you do.
- 29:59I don't know about you, Scott, but I guess now that you've been to the gym for such a long time,
- 30:04you probably don't have to wake up and go,
- 30:06oh, should I go to the gym today?
- 30:08I'm not sure if I feel like it.
- 30:10You just go, right?
- 30:11It's for me, it's relaxing.
- 30:13Exactly.
- 30:14It's probably just become part of who you are.
- 30:16And you say, I am the kind of person who does this.
- 30:19Now, there's something really deep in there.
- 30:22That is one of the secrets to staying healthy and just about any pursuit is
- 30:26if you can make something that's good for you part of your identity,
- 30:30I really do believe that's one of the key ingredients of sticking with something
- 30:33even when it initially feels tough.
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- 32:31I think a lot of people know what they should do, but they're not doing it.
- 32:35Why is that?
- 32:37Is it they can't make it past the first six months?
- 32:39Is it the manana, manana, later, later, later problem?
- 32:42What is the thing that's stopping the smart person from doing the thing they should do?
- 32:46If city believe, which I think majority of them do that health is important, I'm sure there's some.
- 32:52I've spoken to a couple guys that for some reason they truly believe that they're almost invincible
- 32:58and they'll figure it out later, but outside of that edge case personality,
- 33:02I think most people understand the benefits of health, wellness, physical training, good diet, good sleep,
- 33:07smart people, successful people, figured out the rest of their life, and then there's one part,
- 33:12they just, what's going on?
- 33:15Yeah, and before we set the cameras rolling, we were talking about how it's,
- 33:21there's no shortage of information.
- 33:24We're in the golden age now, we've got the entire internet of information.
- 33:30Now we've got AI to organize it all for us.
- 33:33It's like no one ever has an excuse now to not almost know what to do,
- 33:38but sticking with it is still just as hard as it's always been, so why is that?
- 33:43Well, I like to break it down for the people who are struggling to stick to something
- 33:48and I'll include myself in that as well, because I have things where I struggle to stay consistent.
- 33:53And I like to break down two driving forces into motivation and discipline,
- 34:00and I think they're very separate.
- 34:02So motivation, I like to think of as your reason why, so why you do something.
- 34:07And you can have a positive motivation, which is driving towards something,
- 34:11and you can have negative motivation, which is running away from something or driving away from something.
- 34:17So to give you a couple of examples,
- 34:19and a patient who come to see me, who is in his mid-70s,
- 34:23and he said, well, I can't walk very well,
- 34:26and I've just found out my daughter is getting married at the end of next year,
- 34:31and my one goal is to be able to walk her down the aisle without my stick.
- 34:36So he had a very strong forward pushing motivation,
- 34:41like he had a goal he wanted to hit.
- 34:43So for him, every time it felt tough,
- 34:46or he thought, I can't be bothered to do these exercises today,
- 34:49he had that thing in his mind, and he was like, this is important.
- 34:52I've, the stakes are high.
- 34:54And on the other side, I had a lady who came into see me, she had pretty mild knee pain.
- 34:59It wasn't that bad, but she goes, I'm coming to see you now,
- 35:03because I've watched what happened to my mum,
- 35:06and she developed knee pain like this at the same age I am now,
- 35:09and 20 years later, she's in a wheelchair.
- 35:12And I don't want that to happen to me.
- 35:14So I am doing everything I can to avoid ending up in that same way.
- 35:18So she had motivation as well, but her why was moving away from something.
- 35:23Now, both of those are equally powerful,
- 35:26but I think it's really important to define what the why is for you,
- 35:30and it's going to be completely unique.
- 35:32It's going to be completely individual.
- 35:34And once you can pick something that truly does motivate you,
- 35:37that makes those tough days a lot easier.
- 35:41And then on the other side, we've got discipline as well,
- 35:43and discipline is a separate force.
- 35:45And I like to think of discipline as a force that's there
- 35:49when that motivation, that why doesn't feel so prominent in your mind,
- 35:53because we're all going to have days where we wake up and go,
- 35:55do you know what, I know this is really important,
- 35:58but I just don't feel like it today.
- 36:01You want motivation, discipline, sorry,
- 36:04to just fill that gap on those tough days
- 36:08to get you across the line.
- 36:10You can't use it every day, because it's like a battery.
- 36:13And there's research that shows that the more you challenge someone's discipline,
- 36:18the more likely it is to wear down and eventually to break.
- 36:22So there's some cool studies out there on offices.
- 36:25You know when people bring in cakes and donuts and things like that,
- 36:29and there's a strong correlation between the number of times
- 36:33the person has to walk past the cakes
- 36:35and how likely they are to pick one of them up when they said no the first time.
- 36:39The more times you have to walk past it,
- 36:41the more likely you are to pick one up.
- 36:43And it's because every time you go past it,
- 36:45you're using a little bit of that discipline to say no,
- 36:48I'm not going to do it, I'm not going to do it,
- 36:50I'll go on then.
- 36:51And eventually you break.
- 36:52Yeah, but it's the same for us when it comes to exercise
- 36:54and sticking with anything really.
- 36:56It might be working on your business, you're waking up,
- 36:58and it's like, got this thing I need to do,
- 37:00I know it's going to be really unpleasant,
- 37:02I don't want to do it.
- 37:04Let's just use a bit of that discipline to force myself to do it.
- 37:07But if you have to do that every morning,
- 37:09it's not going to be sustainable.
- 37:11It's going to run out eventually.
- 37:13So I like to think of those two as a pair.
- 37:15So the motivation and the discipline.
- 37:17Motivation should be the primary force.
- 37:19When it's not there, use some of that battery in the form of discipline.
- 37:23But if you're always relying on the battery,
- 37:25eventually you're going to run out.
- 37:27So if that's the case,
- 37:29what is the answer then so that you don't have to rely on discipline?
- 37:32Is it environment?
- 37:34What is it?
- 37:35Because even you mentioned that one story or the analogy
- 37:37of walking past the cake every single day.
- 37:39So the answer in my mind would be,
- 37:41well, if there's no cake, then you don't have to deplete your discipline.
- 37:43But is that really it?
- 37:44Is it just the environment you create that sort of encourages the action
- 37:47without discipline or motivation?
- 37:48There's a few things you can do.
- 37:50If you've got your wire, your motivation,
- 37:52and you understand that you can't use discipline all the time.
- 37:55And there's still a gap there, right?
- 37:58Number one is environmental, so absolutely.
- 38:00And you want to think of environmental in two directions.
- 38:03So you want to make it harder for yourself to do the thing that you want to avoid.
- 38:07And easier for yourself to do the thing that you want to do.
- 38:10So a great example I give to my patients is,
- 38:12if you want to get up in the morning and go for a walk,
- 38:14because you said you were going to do it,
- 38:16and it's important for whatever we're trying to fix,
- 38:19tidy away everything in your room,
- 38:21all the clothes except for your walking outfit.
- 38:25So you're walking boots, your socks, your shorts, your t-shirt.
- 38:28That's laid out at the end of the bed,
- 38:30and you've made it harder for yourself to put on anything that isn't that.
- 38:34It's the same as when people are on a diet.
- 38:36The best thing you can do is just get rid of all the junk food from the fridge.
- 38:39Even if you say to yourself,
- 38:40I'm still allowed junk food.
- 38:41I just have to go to the shop and get it.
- 38:43Half the time you'll go,
- 38:45can't be bothered.
- 38:46You know, I've got healthy food in the fridge.
- 38:47I'll just have that.
- 38:48So it works really, really well.
- 38:50Another thing you can do is lean on other people.
- 38:53So this is vital,
- 38:55and I try and use this a lot with my patients.
- 38:58That's one of the reasons now in my business
- 39:00we're really leaning into in-person events
- 39:02and trying to get our patients and our online members together in person.
- 39:06So they can meet each other, talk about their shared goals.
- 39:09It's almost like having an accountability partner.
- 39:12So I'm not sure about research on this,
- 39:15but I just know from my own life that if I've had an important goal,
- 39:18if I know I've got a friend or someone else
- 39:20who is working towards something similar,
- 39:22even if it's not the same,
- 39:24and you agree to check in regularly with each other,
- 39:27the chances you're going to stick to your thing are so much higher.
- 39:30And I think we can leverage that too.
- 39:32It's almost like positive social pressure.
- 39:34I like that.
- 39:35Because if your friend's texting you're going,
- 39:36did you do the thing today and you're like,
- 39:37ah, I should have, but I didn't.
- 39:39You know, there's only so many times you want to send that text back.
- 39:42Of course.
- 39:43No, I like that.
- 39:44I like that a lot.
- 39:45This that you mentioned at the beginning,
- 39:47the eight percent muscle loss per decade.
- 39:51How do you make somebody feel that's that
- 39:54and understand that's that?
- 39:55If they won't really physically feel it for 15 or 20 years.
- 39:59It's a really good question.
- 40:01It's such a tough thing to do.
- 40:03Because it's one of those things that
- 40:05it doesn't feel urgent until it is.
- 40:08So I like to frame it with people as,
- 40:13like, what would you like to be able to do
- 40:15that you can't do right now?
- 40:16So comment it from a positive angle.
- 40:18Find something that it might be,
- 40:21you know, I'd like to be able to lift up my grandkids.
- 40:24I'd like to be able to, you know,
- 40:26lift the grandkids in 15 years.
- 40:29And you just make them aware that if they're on,
- 40:32if they continue on the same trajectory that they're on now,
- 40:34then that actually might not be a reality
- 40:36unless something is put in place.
- 40:38It's a really tricky one though,
- 40:39because like, as humans,
- 40:41we are programs really to look at the most urgent thing,
- 40:44the most immediate thing.
- 40:46And if that's not forthcoming,
- 40:48it's tough.
- 40:49It takes discipline.
- 40:50It takes, you know, knowing what life's
- 40:52going to look like in the future.
- 40:54And yeah, there's no easy answer to that one.
- 40:56There's no easy answer.
- 40:58Obviously, you have the science and data
- 41:01and you have the case studies to show why it's important.
- 41:04It only goes so far though,
- 41:05doesn't it, if you don't feel it in your own body?
- 41:07Yeah, it's true.
- 41:08I'm trying to think about,
- 41:10I mean, it's interesting to me because
- 41:12health and wellness has always been such an important part of my life.
- 41:15I couldn't imagine my life without it,
- 41:17but I know that that's not the reality for most people.
- 41:19I mean, I think that my evolution of health wellness
- 41:23working out started from when I was playing tennis
- 41:25at a young age,
- 41:26and I played every sport under the sun.
- 41:27So it was always part of my life.
- 41:29And then, you know,
- 41:31I used to play a lot of hockey.
- 41:32It's very cliche.
- 41:33I'm Canadian.
- 41:34And if you aren't drafted
- 41:35and you don't have a future getting paid to play hockey
- 41:38by the time you're like 16,
- 41:39you're like,
- 41:40it's a real job.
- 41:41And then, but I didn't want to,
- 41:43and then I didn't want to just let that athleticism die.
- 41:46So you just sort of maintain it with the gym through your whole life.
- 41:49And it just becomes part of your identity, your personality.
- 41:52But I know for a lot of people,
- 41:53it hasn't been their whole life.
- 41:54Or they've let it,
- 41:56most people were athletic at a younger age.
- 41:59They participated in some sort of sport organized or otherwise.
- 42:02And then by the time, you know,
- 42:03work happens and you get busy.
- 42:05And then you feel like you can't get back to where you were before.
- 42:08And you try to go to the gym.
- 42:10And your body doesn't work the way it used to.
- 42:12And then you give up.
- 42:13But you're saying that listen,
- 42:15even this incremental amount of athleticism and resistance training
- 42:20will still make your life incredibly better.
- 42:23So don't worry about the fact that if you took 15 years off
- 42:27and you go back to the gym,
- 42:29you can't bench what you could bench when you were 18 years old,
- 42:3320 years old, that's not the point.
- 42:35It's not the point.
- 42:36And I think that's what screws up a lot of people.
- 42:38They think, well, what's the point?
- 42:40I know you have a story that you speak about.
- 42:42I want you to tell the story to the audience about the 94-year-olds
- 42:45who also said, what's the point?
- 42:47And basically didn't think there was anything
- 42:49that they could do for their health and well-being.
- 42:52But this to me, I thought was very interesting.
- 42:54So you worked with this 94-year-old
- 42:56that were basically going to give up
- 42:58and then like a lot change in their life
- 43:00in sort of a one month, four-week period.
- 43:02Yeah, I mean, there's been lots of stories like this.
- 43:05That's a very old person.
- 43:08And people are surprised by this
- 43:11because even people in their 60s and their 70s say,
- 43:14oh, surely it's too late.
- 43:16But it's absolutely not too late.
- 43:20And we have tons and tons of evidence that this is,
- 43:23you can improve at NEH, you can improve muscle,
- 43:26you can improve strength, you can regain mobility.
- 43:29You can't always eliminate pain.
- 43:31But you can improve those attributes
- 43:57of don't you think?
- 44:10So for example, you have a low depression.
- 44:14But you can't really control your muscles.
- 44:19So you can put your hands up.
- 44:21Like, if you can't control your muscles.
- 44:23earlier in life. And probably in her 80s, she'd had pain, she'd had weakness, she was losing
- 44:30her ability to walk well. And she'd gone to seek help. And people were giving it like
- 44:36a token try. But it was like, oh, well, I guess this is just it for you now. And I think
- 44:43over time, she just didn't want to hear it one more time that nothing was possible.
- 44:48So she'd given up. Now, something obviously, either my content or a friend had told her
- 44:54about me, something spoke to her and she thought, I'm going to give it one more go. So the
- 44:58bravery to do that was massive. But she was brought in by her husband, she had pain in the
- 45:03knees. She was weak. She couldn't get out of her chair without assistance. But we started
- 45:07from where she was. So we started with some very gentle, just seated exercises that she
- 45:12could do at home, just little and often, just getting her moving. And even though she
- 45:17didn't feel a huge change in that first week, it was like something was starting to move.
- 45:21You know, the joints that hadn't moved for a while were feeling a little bit more supple.
- 45:26And she was starting to get confidence in controlling those legs again. Came in the next
- 45:31time, there was a bit of progress there. Like she could walk a few extra steps without
- 45:35help. She came in the week after. And suddenly, it was like, well, I'm hardly helping you
- 45:41out of this chair now. And I was there for support. But it was her doing all of the work.
- 45:47And then a few weeks down the line, I mean, four weeks there was a change, but it was about
- 45:51eight, ten weeks time she came in, no husband and sight. He's waiting in the car. So she
- 45:57would walk all the way in. She was beaming. And that fear of falling that she'd had the
- 46:02whole time that was much reduced. She still had the knee pain, but it was under control.
- 46:08And she got a life back. Why were you able to do this when she had obviously actually
- 46:13taken effort and gone to other people before and they weren't able to do anything? What
- 46:19was the difference in what you know and what you teach and what you help people with?
- 46:24I just don't give up on people. I'm not that special when it comes to physio. I'm an
- 46:30okay physio. I know my way around the human body, but I don't have crazy exercises that
- 46:36no one else has. I don't have weird techniques and I don't have magic hands. But I don't
- 46:42give up on people. And I think that approach just gives people hope when they didn't have
- 46:48it before. So I've tried to work out why so many people have been drawn to the content
- 46:54I've made. And I look at my content sometimes and I'm like, that video is not even that good
- 46:59and it's got like a million views. But I think if you look at the way I talk, I think
- 47:05what's clear is that I'm always trying to give people that hope because I truly believe
- 47:12it. And I don't just believe it because I've seen it. I believe it because the evidence is
- 47:16there to show that people can improve at any age. And just on the plane over here, I always get
- 47:21like a recent research digest to read every week. So what's come out? And I found a study where
- 47:28a group of 90 plus year old nursing home residents were given a leg strengthening program
- 47:36for eight weeks, right? So most of these people are not moving, right? They're sat in a chair.
- 47:42And in eight weeks, the average improvement in leg strength was 175%. And they're in the 90s.
- 47:51And we're believing this myth that once you get past 65, nothing can be done. It's just not true.
- 47:57Like it's just not true. So my biggest goal is to try and bust these myths and give people hope
- 48:04that, you know, no matter where they are now, there's still hope.
- 48:08The body is incredible. The human body is absolutely incredible. So I like, again, I'm not,
- 48:14I'm not that age I haven't had these conversations with my doctor. But is that the reality for most
- 48:21people that, you know, they go to their GP and they're like, well, there's not much you can do
- 48:24at this age? I don't want to give, um, GPs a bad name because there's some amazing GPs, amazing
- 48:30doctors. And I think it really does depend on who you see. Oh, what's the myth from an NHS
- 48:35background? So our big national health service in the UK, you go and see your doctor.
- 48:41They've got a total allocated time of 10 minutes to go and get you welcome you in,
- 48:47bit a small talk, ask about the problem and then write up all your notes.
- 48:51There's not enough, right? So I think what's happening is if someone's coming in and the
- 48:57GPs thinks this seems unrealistic, it's easier for me to just say, what do you expect?
- 49:04You know, most people are in this position. Yeah. So I think that could be sometimes the go to
- 49:10or perhaps the person who's delivering the advice just doesn't know what's possible sometimes.
- 49:17And what I would also say is to get people to the point where they're improving, it's often not
- 49:21easy, it takes a lot of work, it takes planning, it takes trying to motivate the person.
- 49:26And quite frankly, a lot of places that help people in this population just not set up with the
- 49:31time and the resources to do that. No, the goal is not to hate on GPs that are incredible people,
- 49:37but I think that listen, I'm a big fan of advocating for yourself. And I feel like sometimes
- 49:47the traditional medical system that we all take part in, and I mean, I'm Canadian, so very similar
- 49:52to the UK, a little bit different in the US, but even in the US, like sometimes I have to go in
- 49:58and tell them what I need, even in Canada, I have to go in and tell them what I need and push and push
- 50:02and push. And you're right, in like a 10 minute, 15 minute visit with my family doctor,
- 50:10they're not going to be able to do everything that you would be able to do for a person spending
- 50:14hours with them obviously. So it's not like it's not malicious, it's just there's real limitations.
- 50:23I 100% agree, and I always say to my team, how lucky are we that we actually get to spend 12,
- 50:2815, 20 hours with someone? So we see them right through the journey. The doctor gets 10 minutes,
- 50:34like you can't compare. So they're structurally not able to help people with these kinds of
- 50:41problems, these chronic long-term things as we are. So it's absolutely no hate and no
- 50:48shade thrown on doctors, they're doing an unbelievable job and they're trained to pick up things
- 50:53that are going to shorten someone's life right and fix those things. If it's perceived as just
- 51:00the quality of life thing, I think that gets knocked down to second tier priority sometimes
- 51:05just because of the pressures they're under. So your book, congratulations, independence for life,
- 51:10so that launches May 26th. So when people are listening to this, they'll be able to go get the book.
- 51:16Now it's interesting because your book is entitled independence for life, not strength for life,
- 51:22not mobility for life, why independence? I think independence is one of the most important
- 51:27things that we take for granted. And I define independence as being able to do what you want
- 51:33when you want with who you want for as long as you want, right? Now who doesn't want independence
- 51:39if you define it like that? And the reason I call it independence for life is because independence
- 51:44is a catchal term for strength, for mobility, for skeletal health, for balance, for confidence,
- 51:51all of these things fall under that umbrella. And the goal of the book is to give people all the tools
- 51:56they need to achieve what they want to achieve with those attributes and to maintain the ability
- 52:05to stay independent for as long as I can. And you, this is interesting because I hear this a lot.
- 52:10It's not just about what's the actual word I wrote down here. It's not just about living long.
- 52:17It's like living a long, healthy life. I think the word is lifespan. Is that the proper word that
- 52:22people use now, life or health span? I can't remember what the term is. Yeah, health span I would say.
- 52:28Yeah, so life span is how long you live and then health span is how healthy those years are
- 52:34because we are getting older. We do live longer, right? But I mean,
- 52:40not to get too personal, but I've seen grandparents in my family the last few years of their life
- 52:46are not great for a variety of reasons. Some of them being their body, some of them being their
- 52:52mind as well. So independence is not just independence now. It's independence all the way through
- 53:00to the true end of your life and hopefully not losing an independence ahead of time.
- 53:05100% and especially nowadays we're obsessed with this idea of longevity aren't we?
- 53:11So living longer, adding more years to your life. But I would argue why do you want to live for more
- 53:17years if those years are of really poor quality? If you're in pain, if you can't do what you want to
- 53:22do, if you're weak, if you're relying on help from other people just to do normal basic daily things.
- 53:29To me, that's no quality. So for me, independence catches people in those last few years
- 53:36and says rather than helping you to live longer, let's just help you add quality back to those years.
- 53:42But the process doesn't start at the end of life. It starts much earlier. And the earlier you start,
- 53:47the more chance you have of maintaining that quality for longer. That's so, so important. So
- 53:53even things that are not physical, like muscular, skeletal, joint-related,
- 53:59you even mentioned resistance training can improve or delay dementia. These are other
- 54:06cardiovascular issues. Everything that makes, again, the last four or five years of your life
- 54:12truly difficult to the point where sometimes I mean, like God forbid, with family, it's like
- 54:19those last four years. It is a burden on them, on other family members. It's not like a,
- 54:24it's not a fun last four years by any measure. You mentioned four pillars. So
- 54:33strength, bone, balance, and mobility. I know you call them four pillars. So you may tell me
- 54:40Scott, that's a stupid question. But is there one that is more important than the other or one
- 54:43that you don't have to focus on as much? It's a really good question. And I would say strength
- 54:48is the most important because as we've discussed, if you can improve your strength,
- 54:53you're also going to get more mobile. You're also going to improve your balance because being
- 54:58strong in your legs is a big part of staying on your feet. And you're also going to improve your
- 55:02bone and joint health as well. So if you could only prioritize one, it's strength all day long.
- 55:07The others are equally important underneath, but working on any one of those other things in
- 55:13isolation is not going to improve your strength, whereas working on strength improves everything.
- 55:17So that is almost like even though it's four pillars, that's the one that holds everything else up
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- 57:49way with indeed. You work with a whole bunch of people who do have true independence. Like what
- 57:54what does their life look like at 80 90 years old? Like what are what are we aiming for here? It's not
- 58:00to run a marathon. It's not to hit your, you know, one rat max on a bench. Like what is true
- 58:04independence look like if you're going to say, hey, you're 35, you're 35 now. This is what I want
- 58:10your life to look like if you listen to what I'm talking about or what I'm teaching.
- 58:14And you say it's not to run a marathon. I sometimes have patients who do incredible things in their 80s
- 58:20that we had a gentleman in my online program. We just wrote into the community area saying
- 58:25you just run a half marathon at 85 right? That's very cool. But yeah, that's not the norm, right?
- 58:31This is not the norm. I would say that the benefits people get from following these things are to
- 58:39just enjoy life, right, to be able to do the things you want to do to not have to wake up and say
- 58:43I shouldn't do that because of my knee or I can't do that anymore because I don't trust my legs.
- 58:49It's having that confidence in your body's ability to keep you safe and to keep you moving
- 58:55for as long as you want. I'm curious about how you got into this niche. So from what I understand,
- 59:03every clinic in your town and in a foreign ham at the time, right? I think now you're in Surrey.
- 59:11All right, same place. Oh, I'm sorry. Oh, my goodness. Okay. I'm sorry. That's my
- 59:14nose. So in foreign ham, every clinic was positioning as like a sports injury clinic.
- 59:21The majority, is that because soccer is very popular or like what football is very popular?
- 59:25Like what's the reason why everything's a sports injury clinic in foreign ham?
- 59:29It's always baffled me. I think it's just because people think it's going to be more fun and
- 59:33more interesting working with sports people. But the thing that makes me laugh is the top, top,
- 59:38top sports people have got their own physios. They definitely do. Of course. So then the other
- 59:43clinics are scrapping over a very small population of people like the weekend warrior types. So
- 59:49they're all fighting over this tiny, tiny group of people who do need treatment. But not as badly
- 59:54as the group of people that I've been helping. So you were truly like one of the few clinics that
- 1:00:02opened for an older age physio. I've never seen another clinic that explicitly specialises in
- 1:00:09people over the age of 50, which I think is mad. But one of the differences we did is there are
- 1:00:16clinics where if you look at their marketing, you can say, okay, that's clearly targeted at the
- 1:00:21older person. So similar to us. But from the outset, when I set up my business, I was 100% vocal
- 1:00:28and very clear about who the person was that I'd set this up for. So in big letters across the
- 1:00:34top of the website, still there now, we help people over 50 to rebuild strength, regain mobility,
- 1:00:41get off pain pills and live a life that they enjoy. So right from the outset, it was very clear
- 1:00:47about that message. And I think that's one of the reasons why the business grew so fast in the
- 1:00:51early days is because it was a no one else was doing it. But b, this group of people had such an
- 1:00:58urgent need and it was just unfulfilled. There was no one who was for them, if you like. So they
- 1:01:04would go to these sports injury clinics and fill it out of place because, you know, Margaret age 75
- 1:01:09with a bad knee is just seeing Johnny age 33 doing squats. And thinks, is this the right place for me?
- 1:01:16Probably not. So we wanted to set up a place where she would feel at home.
- 1:01:21You're doing your dream job and you're doing physio for this team.
- 1:01:26What was the thing, the thing that made you pivot? And you're like, I want to go help people
- 1:01:30that are really hurting, which is a very noble cause. But that's not the first thought that
- 1:01:34would pop into my mind when I've worked my whole life to be a sports physio. And then I get the job
- 1:01:40and now I'm going to move away from it. So what was the thing? Yeah, it was a it was a funny story.
- 1:01:45So from about the age of 16, I was obsessed with the idea of being a physio in football.
- 1:01:52Thought this is what I want to do. It's the only thing I'm interested in. I love football. I love
- 1:01:57physio. Let's combine them. It's going to be perfect, right? So all the way through university,
- 1:02:03I was obsessed with this one niche. And then as soon as I left university, it was like, let's try
- 1:02:08and find a job in professional football, which I'm really hard to come by. Now massive stroke of
- 1:02:13luck. I had an in with the club doctor for sports football club, which is the club I'd always
- 1:02:21supported growing up. And I messaged him, he messaged back, he was like, let's set up an interview,
- 1:02:27went through the interview, got off the job, right? Absolute dream come true. I couldn't believe it.
- 1:02:33Took the job, got in there, realized that I made an awful mistake. It wasn't what I thought it
- 1:02:40was going to be. I was not as well suited for that environment as I thought. And it was almost like
- 1:02:46the world comes crashing down, because you spent your whole life training for this one thing,
- 1:02:50only to realize that actually it's not fulfilling for me. I'm not enjoying this. And I can't see
- 1:02:55myself doing another 10 years, never mind 30 years in this. It was weird. It was like the culture
- 1:03:02really in my personality. I just don't think it jelled that well. And it's a very cutthroat
- 1:03:08environment. And I just didn't enjoy it as much as I thought I would. I didn't get the same
- 1:03:15fulfillment. I thought I would have gotten people back on the pitch. Now, I decided that once I've
- 1:03:21made my mind up, there's no point hanging around here. Let me leave, go and get a job in the big
- 1:03:27hospital system while I figured out what to do, right? Because if you're working for NHS. Exactly.
- 1:03:31So when you're working in professional sport, you probably be paid less than minimum wage. It's
- 1:03:35like the best kept secret, because you're working like 60 hour weeks. Oh, I thought these guys made
- 1:03:40like, I thought in NHS or in public health care, you'd make nothing. And then with private
- 1:03:47professional sports, you'd be paying like 5X, whatever you want to know. At the top, so the top
- 1:03:53maybe like 10 jobs in the country, yes. At the levels I was at, which was not pretty. So the
- 1:04:00salaries are pretty comparable to NHS. But in the NHS, you're working 37 hours a week in professional
- 1:04:06sports, like 60. So much bigger time commitment, right? So I thought, let's leave, get an easier job
- 1:04:14in inverted commas while I figured out what I wanted to do with my life. It was a bit of like a
- 1:04:17course life crisis moment for me. So I went into the national health system. I was treating the,
- 1:04:24you know, like a mill-like clinic, seeing 10, 15 people a day, 90% of them were over 50,
- 1:04:30because those are all the GP referrals. And I was doing it for a couple of months and I was thinking
- 1:04:35this is the most fun I've had in years. And it wasn't just fun for me, even though it was,
- 1:04:40it was rewarding. It was I was seeing transformations in these people that actually meant something
- 1:04:45to me. Because when you've got someone who comes in on crutches or using a walker and then eight
- 1:04:50weeks later, they're walking again without it, it's just a different level of reward than just getting
- 1:04:55someone back on the pitch. So I realised that actually this is more suited to me. This is what I want
- 1:05:02to do. The national health system, not the right environment for me to do it. We're constrained by
- 1:05:08how many times we could see people. It's a little bit similar to the GP model where it's like very
- 1:05:13short appointments, lots of patients. You can't really give them everything you know you can,
- 1:05:17and you're under pressure to get rid of them as fast as possible because you've got to make room
- 1:05:21for someone else to come in. So that led me to starting my own business. And I went from the
- 1:05:28outset, it was like I'm going to do exactly what I was doing in the NHS helping people over 50,
- 1:05:32but better. I'm going to make this exactly what the person needs. I'm going to serve them as well
- 1:05:37as I possibly can and hope that it grows from there and it did. That's a first of all,
- 1:05:43that's amazing because I didn't realise how like this whole career arc is actually quite short,
- 1:05:49because you quit Portsmouth FC at 25. Now you're 32. Oh, you're 34 now. Okay, so a few extra,
- 1:05:55a few extra years added on. But still this was a very, very obviously a huge need that you were
- 1:06:02filling because even in the short period of time, even with your content, your content goes
- 1:06:09mega viral. And I think it's just because you have an aging population and obviously this is
- 1:06:15stressing out a lot of people and a lot of like you mentioned, your town was like a microcosm
- 1:06:23for the industry at large. Everyone is focused on like the sexy thing, right? Everyone's focused
- 1:06:28on I want to be a sports physio. And then I have all these different clinics in this in this city,
- 1:06:33all focused on sports, physio, because it's like a sexy thing to do. Even with content,
- 1:06:39like everyone talks about like peptides or keto or like paleo or whatever, you know,
- 1:06:46or whatever Brian Johnson is doing with plasma transfusions with his kid or what I don't even know,
- 1:06:50like it's the craziest shit that's I guess sexy to create content around, but it's just,
- 1:06:58it's not practical for like 99% of people that are just struggling to live a good life.
- 1:07:04Yeah. And that's actually who you're serving.
- 1:07:07100% and my content is always going back to the basics.
- 1:07:10So what people need, people don't need a million dollar per year health routine to live to
- 1:07:142000. I agree. I agree. And it's also why sometimes I come on podcasts like this and I feel a
- 1:07:18bit embarrassed because I'm like, I don't have a real sexy like protocol to sell. I don't have
- 1:07:23like this crazy out there routine that people have never seen before. I'm very like, let's just
- 1:07:29get the basics right because it's like the whole 80 20 thing, right? 80% of the improvements
- 1:07:35going to come from mastering those 20% of the basics. And I'm a big preacher of that and I don't
- 1:07:40abandon that message. But I think in the population, I help particularly online. There's just such
- 1:07:45an urgent need for help in mastering those basics. And when people get to that age, they're like,
- 1:07:52I don't care about what sexy, just give me what's effective because I need it. And I think
- 1:07:56that's why it's done so well. I think that's, I think that that's the reality for most people.
- 1:08:01I think that most, this is my issue with health and wellness content.
- 1:08:06It's said for the majority of people they've realized to grow their audience and to go viral,
- 1:08:12they have to take a super polarizing view on one thing and be in one camp and say that everyone
- 1:08:18else is wrong. Even, you know, Brian Johnson, I have no issue with his content, but he preaches
- 1:08:25like never have a drink, never go to a restaurant and eat something that's like fun. Like,
- 1:08:32you can have a drink once a month and you're going to be fine. Like it doesn't matter if your
- 1:08:38sleep score is a little bit subpar for one day. I feel like there's this like absolutism and
- 1:08:44extremism and health and wellness content. And you actually preach the opposite. You're like very
- 1:08:48pragmatic. Like this is these are the things that work. Go enjoy your life. And that resonates
- 1:08:53with me because that's how I live my life. Like I like most people, you want to be healthy, you want
- 1:08:58to go to the gym, you want to not have it consume your life and be the only thing you think about
- 1:09:03for the majority of people. And then you want to go out every once in a while and eat or have a
- 1:09:08drink and it's not the end of the world. But I think that most health wellness content in general
- 1:09:12is just these extreme ideas because they figure that's the only way to build an audience,
- 1:09:17which is a way to build an audience. But that's why I don't like a lot of health and wellness content
- 1:09:21online because it is very extreme. Well, I do agree. And I think you need people like Brian.
- 1:09:26I love some of Brian's stuff. I do too. But I think when everyone goes that direction and it's
- 1:09:33like almost audience hacking, it is to a degree where it's like the more extreme thing I can say
- 1:09:38than more likely this is to get views. And I know I'm not saying Brian's doing this because I think
- 1:09:43like Brian's so interested in what he's doing. And he's obsessed in improving his longevity and
- 1:09:49like fair play to the guy like some of Brian's a little bit different because he doesn't actually like
- 1:09:53I don't think he ever thinks for a second what I'm talking about is what the average person is
- 1:09:58going to do. He's not he's not a stupid person. He's using himself as an experiment. So he's
- 1:10:02actually a bad example because he's actually not preaching at all. He's just saying I like
- 1:10:07experimenting on myself and these are the results. I think there are people that are truly preachy
- 1:10:11and living this extreme lifestyle. He's not actually one of them. But yes, I understand sorry
- 1:10:16I didn't mean to interrupt. But no, I think that that's actually why and you can tell me why
- 1:10:21you think your content hit because from like a from a creative perspective, I think this is very
- 1:10:26interesting. Like how did you figure out how to turn something that is relatively straightforward,
- 1:10:33not straightforward, but relatively non-sexy, which is physio for people over the age of 50.
- 1:10:40And how did you turn it into this content empire? Now you're obviously you have the book,
- 1:10:44you have 1.5 million on YouTube, which I'm pretty sure you're like the most followed and
- 1:10:50subscribed physiotherapist on earth at this point. I think Bob and Brad might still be ahead of me.
- 1:10:55But still in a relatively short period of time, you're like top five, whatever. I'll take that.
- 1:11:00I think the hard work with my content is done in advance in distilling down what actually matters.
- 1:11:09And I think that is the thing that's most needed in content. Because as we said before,
- 1:11:14there is an unlimited amount of information online that you could go and find now. But how much of
- 1:11:20it is useful and how little uses it if you try and apply everything all at once. You'd arguably
- 1:11:27be worse off than if you just did nothing. So the hard work by me is done in distilling the simple
- 1:11:34ideas into frameworks and into systems that people can implement in real life. And when I'm making
- 1:11:40content, I always try and bear in mind a couple of people who might be watching the content. And these
- 1:11:46people have lives. They have things that they like to do. They're not spending four or five hours
- 1:11:51of day exercising, but they still want 80% of the benefits. So how can I give them that in the
- 1:11:58shortest period of time possible? So that's the framework I think through when I'm trying to plan
- 1:12:02content. And that's obviously worked very well. It works pretty well. I mean, it's what's
- 1:12:08work for me and it's what's work for that audience. Which is it. I always think of them as a
- 1:12:13nononsense audience. They don't want nonsense. They want things that are going to
- 1:12:19actually grow corn if that makes sense. Like the effort they put in, they want to see a return.
- 1:12:26So as much as I can offer them that, I keep trying to do that. What's changed in your life
- 1:12:30between I think you started off on YouTube with 50 patients, 50 subscribers. Now you're at 1.5
- 1:12:36million. So as this changed your focus, priorities, or not at all. Focus? No.
- 1:12:44Well, yes, it has changed from when I was just a brick and mortar location with no online
- 1:12:49following. So the focus now is much bigger, much wider. I want to reach more people. So the goal
- 1:12:54is to impact 100 million people over 50 in some way that's measurably improved their life. How we
- 1:13:00can measure that? I don't know, but that's the big North Star, right? Now in terms of helping people
- 1:13:06over 50, the focus has not changed at all, but in how we do it, it certainly has changed.
- 1:13:12And now we have a team. We've got a team of 10. So I spend less time doing the things I was doing
- 1:13:18before when we were just getting started and more time on strategy, more time on planning,
- 1:13:23more time on recruiting and training the team. But do you still work with clients?
- 1:13:28Yeah, but less because I don't have the time. And it's like I had to make a really tough call
- 1:13:34a while ago. It was like I can still keep seeing 30 patients a week and not have the kind of
- 1:13:39impact that I know we've got the potential to make. Or I can cut that right down and really go
- 1:13:46all in on having this big wider impact. And I feel like, whether it's the gods of YouTube, whatever,
- 1:13:51like something blessed me with this big audience now. And now it's a responsibility. And I feel
- 1:13:57the weight of that responsibility. But in a good way, it's like I've been given this gift,
- 1:14:04this big audience that are clearly getting something helpful from my content, which is amazing.
- 1:14:11How do I keep pouring into that to reward those people and keep growing it?
- 1:14:16I love that. I think you're 100% you're 100% correct. I mean, it's obviously and now you've
- 1:14:22now you have obviously a clinic with a great waiting list. You're writing a book like I think that the
- 1:14:28and I think that you obviously are feeling a huge gap that I know you said there's a few people
- 1:14:34that have large audiences as well, but not many people are serving. So you know, if we just
- 1:14:41go quickly through your life over the past now eight years, right? So you quit Portsmouth FC at 25.
- 1:14:49You're 34. You're running one of the most watched over 50 channels on the internet. You have a
- 1:14:55best-selling book. It will be I'm willing that into existence that's about to come out. I appreciate
- 1:14:59that. A clinic. You have a wife who runs part of the business with you as well. He's been
- 1:15:04indispensable. I have no doubt. From day one, she sat on that front desk when it was just
- 1:15:10me seeing patients. Amazing. She gave up her job to come and help me do that. That's beautiful. She
- 1:15:16believes that what I was doing was worthwhile. Good. Amazing. No, she's an amazing, I don't even know
- 1:15:23her. She's an amazing person. And by the way, that is a whole other hack to have a great partner.
- 1:15:27100% agree. If the 25-year-old version of you could see 34-year-old version of you, what would
- 1:15:32surprise the 25-year-old version most? I think the responsibility on my shoulders. So with the team
- 1:15:38and with the, you know, just the way I approach the content, I always approach it from I've got
- 1:15:44responsibility and not to let people down. And when I was younger, I shied away from responsibility.
- 1:15:50I was a little bit more less safe there. Just less, I guess less serious. Like now it's like
- 1:15:57there is a weight. So I think that would surprise him. But really, the things I enjoy doing haven't
- 1:16:03changed that much. I still like exercise. I still like spinning vinyl records. I still like
- 1:16:08going out and enjoying the outdoors. That kind of thing. I still like spending time with friends.
- 1:16:12And even though life is very different from a work point of view, at home it's very similar.
- 1:16:17Like I'm not bothered about, you know, amassing cars and houses and all that. That means nothing to me.
- 1:16:24You know what I mean? I know. From a work perspective, it's very different from the rest of life.
- 1:16:28It's the same. How has it been like building a business out with your wife? It's been, it's like
- 1:16:33I appreciate it because like so my fiance Gina, she has her own business but we work together so
- 1:16:39closely. Like we're both very, very entrepreneurial. She helps me with my stuff. I help her with her stuff.
- 1:16:44And I love it. I think it's probably one of the best decisions if you are with the right person
- 1:16:51to build a business together. Yeah. But it's also sometimes like you got to find a way to like
- 1:16:56shut the business off. Well, I don't even know. I don't shut off ever. I'm the same. I can't
- 1:17:01French on that. I say that you should shut off. I don't know. But this has been a super power for
- 1:17:06you having that person in your life to help you build. Yeah, it's having that understanding of,
- 1:17:10you know, she'll see me working 60, 70 hours a week and it's like she gets it. There's no like,
- 1:17:15oh, do you have to work so much? Like you're always doing this. There's none of that because she
- 1:17:20understands. And I think the challenges are certainly there. Like running a business together will
- 1:17:28expose every weakness in your relationship. But it will also build every strength even stronger.
- 1:17:35I fully agree with that. So if you have the right person, it's a super power.
- 1:17:39If you have the wrong person, it'll find out very quickly. What is what is one really important
- 1:17:45takeaway that you want to leave the audience with? But also just one last prevailing myth
- 1:17:52about aging longevity, health and wellness. So I guess it's a two-part question. But let's leave
- 1:17:57them with that and just drive at home the importance and because this is personal to me too,
- 1:18:04I want everybody who's listening to not just listen to this and go back to their life.
- 1:18:09I want that the genuinely listen to this and whether or not like you recommended two
- 1:18:14bouts of 20 minutes per week, whatever it is, like please start now because,
- 1:18:21you know, again, most of the conversations I have on this show are about, you know, mindset or
- 1:18:27business or build it. But none of that really matters if your health goes to shit. Like this is the
- 1:18:32most important conversation because what's the hack? What's the performance hack? What's the
- 1:18:36money making hack? Whatever it is, it's like being able to show up with 100% of your energy and
- 1:18:42your health and your wellness and not being in the hospital or sick or, you know, debilitated. Like
- 1:18:48that is the hack. Like imagine how much more effective and how much more you can do if you just
- 1:18:53wake up every day full of energy until 120 years old. Like that's going to be a pretty good way
- 1:18:59to find extra time to do all the stuff you want to do in your life. Anyways, not to take it away
- 1:19:04from you. So one big myth about health, wellness, longevity that you just want to leave the audience
- 1:19:10with and then to find all words of wisdom. So let me see if I can loop all of that together. So
- 1:19:15we've spoken a lot about mindset and the one thing I want to leave people with is the fact that
- 1:19:25the reason most people don't get started, I think, is because they are overwhelmed by what they
- 1:19:31think they have to do in order to make progress. And I think that is not just the case for health.
- 1:19:37I think that's the case for business, for relationships, for friendships, for everything.
- 1:19:42Now when it comes to health, I think one of the most valuable things people can start to understand
- 1:19:48is this concept of the minimum effective dose. So what is the least amount you actually have to do
- 1:19:55to see a meaningful improvement in your health? And for most things, when it comes to strength,
- 1:20:00mobility, balance, it's actually much less than most people think. So we already spoke about
- 1:20:06the minimum effective dose for strength training is 20 minutes twice a week. The minimum
- 1:20:10effective dose for improving a painful stiff knee is probably five minutes once a day.
- 1:20:16The minimum effective dose for improving your balance is probably 30 seconds of practice,
- 1:20:21done three or four times a day in something we call an exercise snack. Now all of these things
- 1:20:26are not just me saying it. These are hard studies that have been done to show that there are
- 1:20:31meaningful improvements between where people start and where people end, typically about 12 weeks
- 1:20:36later. So it also doesn't take that long. So once you can figure out what that minimum effective
- 1:20:42dose is, it makes it so much less intimidating. And that's what I want to leave people with,
- 1:20:48is that it's probably going to take less than you think to see an improvement.
- 1:20:52To get maximum effects, yes, there's a lot you can do, but to get yourself moving,
- 1:20:58it's probably going to take less. And the myth I want to bust before we finish is just that
- 1:21:05people think aging is just a slow decline. And we now know that rather than just being a slow
- 1:21:14downward trajectory, what happens when people decline with age is usually a long period of
- 1:21:19plateaus and then a very steep drop when something goes wrong. And then another plateau,
- 1:21:24then a very steep drop. So typically it's someone who's very healthy, healthy, healthy,
- 1:21:29they have a really severe sickness that knocks them out for three or four weeks, big drop in muscle
- 1:21:34mass and strength and mobility, then they never recover, then that becomes their new baseline.
- 1:21:39Now this is relevant because it dictates the way we live our lives and what we believe about aging.
- 1:21:45The aging is not just an inevitable decline, it's about trying to prevent these catastrophic
- 1:21:50things from happening. And then if they do happen, try and make extra effort to build yourself
- 1:21:54back up because you can. So hopefully that's a hopeful message. It's a realistic, it's a dose of
- 1:22:01reality. It's a dose of reality. And I think that this is because what that ties into is the incorrect
- 1:22:09assumption that just because I'm not feeling anything bad right now, it doesn't mean that I
- 1:22:15shouldn't, I should care about this stuff. Like if I'm not feeling anything, well, what happens
- 1:22:21when you do get sick and you do get this dramatic decline, you weren't expecting it, you were
- 1:22:26expecting to lean over in your garden and not be able to stand up, you weren't expecting any of
- 1:22:31these things. That's why prevent that's why prevention and preventative care, activity,
- 1:22:37resistance training, whatever it is, is so important because you don't see it coming. That's
- 1:22:41the lesson in my mind at least. I agree. Don't wait for it to go wrong before you do something
- 1:22:46about it. Where can people connect with you? Independence for life, like I mentioned, is available
- 1:22:50anywhere you can get your books, May 26th, obviously, Amazon and everywhere else. But website,
- 1:22:56socials, where do you want to send people? Yeah, so with the book as well, we have a stack of bonuses
- 1:23:00I've created with it, not just to sell more copies, but to get people to actually implement the
- 1:23:05lessons inside. So everything I created that goes along with the book is designed to help people
- 1:23:11actually get the benefit that I wrote the book for. If you want to connect with me,
- 1:23:16www.willhalo.com, that's got all of my social links and things on it, so you can
- 1:23:21find basically everything to do with me on there, or just search www.willhalo.com on YouTube,
- 1:23:25and it will come up.