Dr. Casey Means

types is going to look like different symptoms because underpowering in a astrocyte is going to look different than underpowering an ovarian theca cell or an endothelial cell.

It's going to look different, but the core foundational process that is dysfunctional can actually be the same.

And I think

The biggest blind spot in Western health care and actually the reason that health outcomes are actually getting worse every year in the United States is because fundamentally we are ignoring metabolic health and metabolic dysfunction.

We are laser focused on the downstream symptoms that result from metabolic dysfunction in different cell types.

And we spend all of our energy focusing on those symptoms, playing whack-a-mole with them, and really ignoring that underlying foundational root cause of metabolic function.

And what's so fascinating to me and what I saw in the healthcare system as like a super subspecialist, as an ENT surgeon, is that the more we specialize in healthcare,

We have over 100 specialties now that we've just invented in the health care system.

The more we specialize in health care, the sicker we're actually getting.

So the more we do technological innovation in all these different specialties, the sicker we're getting.

And I think what the real nugget there that everyone really needs to understand is we've bought into a system where we value specialization.

And this is the game in Western medicine.

While we've done that, what has happened is we have the worst chronic disease epidemic and the lowest life expectancy of any high-income country in the world.

And the reason is because in that specialization, we're focused on the downstream manifestation of underpowering of cells, the cell-specific symptoms and not the metabolic symptoms.

function itself.

So really, our chronic disease epidemic in this country, it is a metabolic dysfunction epidemic, an underpowering epidemic.

And that is the biggest blind spot in healthcare.

And I think a focus on metabolic function

as the center of our healthcare system, it's a completely new paradigm for health that is urgently, and I cannot overstate enough, it's urgently needed.

We know we're not in the right paradigm right now when we have 100 isolated specialties and yet 85 to 90% of the conditions in those specialties.