Most people think the gym is where the magic happens, but the real calorie-burner might be everything you're doing outside of it.

Dr. Andrew Fix introduces the concept of NEAT (Non-Exercise Activity Thermogenesis) and explains why these unstructured movements might be your biggest opportunity for burning calories and boosting energy. Think walking to the store, standing at your desk, or carrying your groceries instead of pushing a cart. These moments may seem minor, but they can add up to 30% or more of your daily energy expenditure.

How much are you really moving outside the gym? Are you relying too heavily on your workouts to do all the heavy lifting?

This episode makes a strong case for rethinking how we approach weight loss and daily activity. If your goal is to increase energy, feel better in your body, or make progress without overhauling your routine, this is a strategy worth paying attention to.

Quotes

• “Most people that exercise regularly, this is only accounting for like 5% to 10%. Think about how much time in the day you spend exercising compared to what you spend doing other things.” (03:23 | Dr. Andrew Fix)
• “Little things can add up and make a huge difference.” (04:41 | Dr. Andrew Fix)
• “This NEAT can really be a game changer when it comes to: Is somebody getting enough movement in? How many calories are you actually burning throughout the day?” (05:31 | Dr. Andrew Fix)
• “One of the most powerful and beneficial things you can do anyways for your health is, from a blood sugar standpoint, if you could structure it to go for a 5- or 10-minute walk after each of your meals.” (06:57 | Dr. Andrew Fix)
• “Something as small as tapping your foot, fidgeting, getting down on the floor when you’re watching a television show or a game or a movie, and do some light mobility work or some light stretching, as opposed to sitting on the couch… it doesn't have to be complicated, but it can be super powerful.” (08:24 | Dr. Andrew Fix)

Links

https://www.npr.org/sections/health-shots/2023/07/22/1189303227/neat-fitness-non-exercise-activity-thermogenesis

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Billionaires are investing in longevity science, and it could change how the rest of us live, age, and access healthcare.

In this episode, Dr. Andrew Fix talks with Dr. David Dror, a health economist and author of “Investors in Longevity,” about the future of aging and why massive private investment is flowing into the science of longer, healthier lives. What happens when aging becomes a market opportunity? And who benefits when medicine moves toward personalization and prevention instead of standardized care?

Dr. Dror shares insights from decades of global work in health systems and social protection. He explains why longevity is more than living longer. Longevity is about preserving physical and cognitive function as we age. From cellular reprogramming to AI-driven drug discovery, the conversation highlights advances that could push the boundaries of what we expect from medicine.

But access isn’t equal, and that matters. Dr. Dror offers a clear call to action: get informed. As science and capital converge, individuals who understand the landscape will be in a better position to advocate for their health and shape their future.

Quotes

• “We have all grown up and lived for years with the notion that public money creates public health... When this now goes away... does that mean we’re going to have private health?” (07:06 | Dr. David Dror)
• “We are not yet at the stage where personalized medicine is really the domain of the public at large in any country that I know of... But now we’re talking about a different game altogether based on the individualized picture in terms of your cell structure.” (25:30 | Dr. David Dror)
• “Aging needs a rebrand. Aging isn’t a downhill side. Aging is actually an upgrade waiting for better PR. And we can flip the script. Longer lives mean more time for growth.” (34:59 | Dr. David Dror)
• “If people will live to 100, they will probably work to 80 or 85... So on the three very important aspects of work, welfare, and wealth, longevity has a huge set of impacts.” (36:40 | Dr. David Dror)

Links

Connect with Dr. David Dror: https://www.linkedin.com/in/daviddror/

https://www.amazon.com/Investors-Longevity-Capital-Future-Extending/dp/297018320X

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Podcast production and show notes provided by HiveCast.fm

Most injuries don’t come out of nowhere. They happen when your body is asked to do more than it’s ready for.

In this episode, Dr. Andrew Fix breaks down how injury, capacity, and stress are connected in ways that many people overlook. What causes an injury? Why do some aches seem to pop up after a small change in your routine? He explains how every tissue in your body has a capacity for stress and why injuries tend to happen when that capacity falls short of the demands placed on it.

Dr. Fix shares how sleep, nutrition, recovery, and daily stress shape your body’s ability to handle load. A few poor nights of sleep or a spike in emotional stress can quietly chip away at your tissue capacity without you even realizing it. By paying attention to these shifts, you can catch small problems before they turn into bigger setbacks. Dr. Fix also walks through his three-step approach, reset, restore, reload, which focuses on treating symptoms while strengthening the body for the long haul.

Whether you are chasing big fitness goals or just want to stay active without injury, this episode is a reminder that the balance between stress and capacity matters every single day.

Quotes

• “Injuries happen when the load or the stress that’s being placed on the tissue is more than the capacity or the tolerance that the tissue has.” (01:58 | Dr. Andrew Fix)
• “Whenever our load stays below the capacity of the tissue, you’re really gonna be at a low risk of injury in those situations.” (03:35 | Dr. Andrew Fix)
• “We want to identify any issues that are present before we get to this point… we can prevent a lot of these things from happening.” (05:48 | Dr. Andrew Fix)
• “Is the capacity of the tissue strong enough to withstand the load that it’s being asked to tolerate?” (07:47 | Dr. Andrew Fix)
• “We need to reload. We need to improve the capacity of our tissues so that we can withstand the load that we’re being asked to do, whether that’s training wise or otherwise picking up your kids, you name it.” (09:10 | Dr. Andrew Fix)

Links

https://www.professionalseminars.com/post/understanding-load-vs-capacity-unraveling-the-mystery-of-injuries-and-pain#google_vignette

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Waiting until pain gets worse guarantees it’ll cost you more time, more money, and more of the life you want to live.

This episode starts with a conversation about amortization in commercial real estate, but quickly shifts to something more personal: the way we treat our own pain. Dr. Andrew Fix shares how this financial concept mirrors the way many people delay dealing with physical discomfort. Why do we wait until pain becomes unbearable before we act? And what does that delay actually cost us?

Drawing from his own experience with a chronic Achilles issue, Dr. Fix walks through the consequences of postponing care. Small problems become harder to solve. The investment required, whether time, money, or energy, only grows.

You can’t spread out your pain like a loan. And you can’t ignore it forever. So the question becomes: are you willing to invest in your health now, or are you prepared to pay more for it later?

Quotes

• “The longer we wait to deal with something that is physically bothering us, typically the harder it is, the longer it takes, the more expensive it is to deal with then.” (03:56 | Dr. Andrew Fix)
• “Had I just addressed this seriously from the get-go, and not treated it like it wasn’t that important, oh my gosh, life would have been much better.” (06:49 | Dr. Andrew Fix)
• “If you can just take the small things seriously, they don’t have to turn into big things.” (07:06 | Dr. Andrew Fix)
• “You cannot amortize your health.” (07:16 | Dr. Andrew Fix)
• “You will either choose to invest in your health and wellness or you’ll be forced to pay for your sickness and your disease or your injuries later.” (07:39 | Dr. Andrew Fix)

Links

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Most of us breathe more than 20,000 times a day without realizing how much it's working against us, fueling stress, wasting energy, and keeping us stuck in survival mode.

Dr. Andrew Fix sits down with Dr. Andy Sabatier, a physical therapist who left behind a high-performance sports and ICU background to focus entirely on one thing: helping people breathe better. Together, they unpack the difference between functional and dysfunctional breathing and why this one act, done unconsciously all day long, has a ripple effect on pain, posture, stress, endurance, sleep, and more.

Dr. Sabatier explains why mouth breathing can push us into chronic fight-or-flight, how nose breathing activates the diaphragm and downshifts the nervous system, and what happens when we retrain our breath to work for us instead of against us. He breaks down his “14 words of functional breathing,” shares a client story that reshaped his entire practice, and offers a simple framework for how to begin.

This conversation isn’t about hacks or techniques. It’s a call to take ownership of something we already do, and use it to feel better, move better, and live with more ease.

Quotes

• “Breathing is the single most impactful action any human being performs more than 20,000 times every day.” (03:47 | Dr. Andy Sabatier)
• “How we breathe is how we feel, and how we feel is how we breathe.” (06:31 | Dr. Andy Sabatier)
• “Conscious breathing trains subconscious breathing.” (35:47 | Dr. Andy Sabatier)
• “Breathing is a privilege, it’s a play, it’s a practice, and ultimately it’s a performance.” (42:27 | Dr. Andy Sabatier)
• “There is no perfect breathing. Your breathing is your own. You’re the only one that can do it. You’re the only one that can get fascinated by it. And building a relationship where you feel like this is something I enjoy is another way of trusting yourself and loving yourself that previously just hasn’t been explored.” (56:52 | Dr. Andy Sabatier)

Links

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https://www.academywestperformance.com/about

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Podcast production and show notes provided by HiveCast.fm

Using insurance for physical therapy might feel like a smart move until you see the price you’re paying in time, money, and results.

When Dr. Andrew Fix sat in on a client’s post-op appointment, he didn’t expect the orthopedic surgeon to describe their own physical therapy department as “a factory.” But that offhand comment revealed something bigger: a system that’s become overloaded, rushed, and driven by insurance reimbursement instead of patient outcomes. So why are so many people still choosing in-network care? And what are they actually getting for their money?

In this episode, Dr. Fix breaks down how insurance is shaping the way physical therapy is delivered and how those choices affect real people. He explains why high-volume clinics are the norm, how reimbursement cuts are pushing providers to see more patients in less time, and why many people end up with surprise bills despite thinking their care is “covered.”

This is a conversation about time, trust, and the true cost of healthcare. If you’ve ever felt confused by your insurance or unsure whether cash-pay care is worth it, this episode gives you a clearer way to think about your options.

Quotes

• “The clinic is so crowded with clients and the schedule of the therapist is so full with people every day that the clients don't get a very personalized and individualized experience.” (03:48 | Dr. Andrew Fix)
• “The orthopedic office has their own physical therapy department, but the physicians, because they don’t like the quality of the experience that clients are receiving downstairs... they’re choosing to refer their clients elsewhere, where it takes money out of their practice’s pocket.” (04:46 | Dr. Andrew Fix)
• “Every year, we as consumers, you as consumers, pay more for health insurance... but then, every year, it seems like your insurance is covering less and less and less.” (06:19 | Dr. Andrew Fix)
• “I can absolutely promise you that it is not necessarily cheaper to go to an in-network place versus an out-of-network or cash pay style office.” (10:01 | Dr. Andrew Fix)
• “We get to spend so much more time with the client that we can oftentimes achieve the same or typically a better outcome in a fewer number of sessions... you get back that one finite resource that none of us have enough of, and that’s time.” (14:04 | Dr. Andrew Fix)

Links

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Most of us know the basics: eat well, move your body, get enough sleep. So why is it still so hard to live a healthy lifestyle?

Dr. Andrew Fix is joined by Dr. Lloyd Glauberman, a psychotherapist with more than 40 years of experience, to talk about why common sense habits have become so difficult to maintain. They explore the idea of “lifestyle intelligence,” a concept rooted in the natural instincts we’re born with, like knowing when we’re hungry or tired, and how those instincts get overwritten by cultural norms, screens, and stress.

Why do we have more information about health than ever, yet obesity rates keep climbing? Why is stress management something we constantly talk about but rarely prioritize? This episode takes a clear-eyed look at how small, daily decisions shape long-term health and why behavior change often feels so hard to sustain.

Dr. Glauberman also shares how his work blends psychology and technology to help people stay on track, starting with a few minutes a day. If you’ve ever felt stuck between knowing what to do and actually doing it, this conversation will hit home.

Quotes

• “Instead of self-esteem, what we really have is selfie-esteem. We have this artificial entity we’ve created that we sell to the public on screen. That’s us now.” (10:35 | Dr. Lloyd Glauberman)
• “Everybody on some level understands what’s important… It’s getting them to do these things. So my job is to present information in ways that it is more likely to be understood, stored, and utilized. Because if it’s not utilized, it doesn’t matter.” (30:03 | Dr. Lloyd Glauberman)
• “You know what one of the most difficult parts we’ve never spoken a lot to when it comes to people losing weight? …is when they’re successful.” (33:18 | Dr. Lloyd Glauberman)
• “The whole idea is you’ve got to get people used to this. There, getting there is part one, staying there is part two.” (34:02 | Dr. Lloyd Glauberman)
• “The process of becoming ill or dysfunctional is so slow, so silent... All of that sensory information that will eventually lead to chronic disease is invisible.” (47:12 | Dr. Lloyd Glauberman)
• “Life is about what you do most of the time, not all the time.” (52:55 | Dr. Lloyd Glauberman)

Links

http://lifestyleintelligence.com/

https://www.linkedin.com/in/lloyd-glauberman

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Andrew’s Personal Instagram | https://www.instagram.com/drandrewfix/

Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/

Podcast production and show notes provided by HiveCast.fm

Asking for help isn’t a weakness; it’s one of the fastest ways to get where you want to go.

When did we start believing that real leaders don’t need guidance? Dr. Andrew Fix takes a closer look at a recent Toyota campaign featuring Damian Lillard and unpacks the message that mentorship somehow conflicts with leadership. He doesn’t buy it, and explains why that mindset holds people back.

In this episode, Dr. Fix makes the case for mentorship as a key part of growth, not a detour from it. Even the most elite performers have coaches. So why do so many people hesitate to ask for help?

Whether you’re chasing a health goal, navigating your career, or trying to level up in any part of life, this is a reminder that seeking guidance isn’t a sign you’re falling behind. It’s a smart move toward getting where you actually want to go.

Quotes

• “One of the most efficient ways to help us get to where we want to go is to seek the mentorship and guidance of those that are already in the place that we want to be.” (05:34 | Dr. Andrew Fix)
• “It is okay to ask for help. In fact, I’m sure Damian Lillard or anyone else like that is in a very successful situation… I’m sure they would say, yes, it’s okay to ask for help. You should ask for help.” (06:42 | Dr. Andrew Fix)
• “What that doesn’t mean is that you should expect other people to do things for you… They can’t help you if you’re not willing and wanting to be helped.” (07:00 | Dr. Andrew Fix)
• “Even coaches need coaches. And any really good one is going to tell you that, right?” (08:00 | Dr. Andrew Fix)
• “Don’t be so stubborn and so hardheaded to say, ‘I need to forge my own path.’ Sometimes that just means it takes you longer to get where you could’ve gone faster—with help.” (09:29 | Dr. Andrew Fix)

Links

https://www.instagram.com/shawnpeezie/reel/DExqcMxRdzA/

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Andrew’s Personal Facebook | https://www.facebook.com/andrew.fix.9/

Podcast production and show notes provided by HiveCast.fm