Cardiometabolic Rx: Part 1: Metabolic foundations and myths

In part 1 of the Cardiometabolic Rx podcast, host Emma Sutherland is joined by Dr Adrian Lopresti, Dr Michelle Woolhouse, Lisa Costa-Bir, and Mick Alexander for a wide-ranging discussion on the foundations of cardiometabolic health. Together, they explore how individualised nutrition, hormonal balance, stress adaptation, and muscle and bone integrity as well as kidney health influence metabolic outcomes, emphasising why truly integrative care must extend beyond BMI, cholesterol and blood pressure checks. The panel shares the latest evidence on emerging assessment tools - including continuous glucose monitoring, homocysteine and trimethyl amine and oxide (TMAO) testing, and the body roundness index and how these measures can reveal early signs of dysfunction before overt disease develops. In an engaging exchange of clinical perspectives, the ambassadors uncover the “silent hijackers” of cardiometabolic health such as poor sleep, loneliness, medications, and gut dysbiosis. This thought-provoking discussion challenges long-held assumptions and equips practitioners with practical, evidence-based strategies to assess and address cardiometabolic risk at every stage of patient care. COVERED IN THIS EPISODE (1:07) Welcome – fx Medicine ambassadors (2:42) Cardiometabolic myth 1: “there is no one-size-fits-all when it comes to diet” (4:57) Cardiometabolic myth 2: – “I’ve got big bones” (7:23) Cardiometabolic myth 3: – Cardiometabolic disease is an old person’s disease (10:21) Cardiometabolic myth 4: – If your BMI is normal, then your metabolic health is fine (11:19) Cardiometabolic myth 5: – People with a heart condition should avoid exercise (15:16) Cardiometabolic disease drivers – Stress and cardiovascular disease (18:07) Cardiometabolic disease driver – Complex interplay of conditions (20:10) Cardiometabolic disease driver – Muscles and bones (21:56) Cardiometabolic disease driver – Chronic kidney disease (25:20) Cardiometabolic disease driver – Lifestyle factors (35:06) Assessment tools – Waist measurement (37:29) Assessment tools – Continuous glucose monitoring (41:49) Assessment tools – Blood tests (44:12) Assessment tools – Pharmacy screening (49:33) Assessment tools – Cortisol testing (53:44) Cardiometabolic hijacker – Early childhood trauma (58:19) Cardiometabolic hijacker – Relationship between cardiometabolic and mental health (1:01:04) Cardiometabolic hijacker – Common medications (1:03:50) Cardiometabolic hijacker – Gut bacteria (1:06:52) Final remarks Find today's transcript and show notes here: Sign up for our monthly newsletter for the latest exclusive clinical tools, articles, and infographics: DISCLAIMER: The information provided on fx Medicine by BioCeuticals is for educational and informational purposes only. The information provided is not, nor is it intended to be, a substitute for professional advice or care. Please seek the advice of a qualified health care professional in the event something you learn here raises questions or concerns regarding your health.

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Cardiometabolic Rx: Part 1: Metabolic foundations and myths is an episode from FX Medicine Podcast Central by FX Medicine.

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This episode was published on Oct 27, 2025.

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