
On Purpose with Jay Shetty
Dr. Rangan Chatterjee: #1 Way to Break a Bad Habit & Why 50% of What Doctors Learn in Medical School Turns Out Wrong
Mon, 30 Dec 2024
What bad habit do you want to break? What’s a health tip you no longer trust? Today, Jay welcomes back Dr. Rangan Chatterjee, a UK-based physician, bestselling author, and podcast host, to discuss his latest book, Make Change That Lasts. Known for his holistic approach to health and wellness, Dr. Chatterjee shares nine transformative strategies to foster sustainable change in daily life, offering a blueprint for physical, mental, and emotional well-being. The conversation explores why many health and lifestyle changes fail to stick, diving into the importance of self-awareness and the power of mindset. Dr. Chatterjee recounts how Western medicine often focuses on treating symptoms rather than promoting vitality, advocating for a harmonious blend of Western science and Eastern wisdom. He emphasizes the role of lifestyle choices—nutrition, movement, sleep, and even mindset—in shaping our health. Jay and Rangan tap into practical tools and methods for understanding and addressing emotional triggers behind habits. They stress the significance of environment and relationships in fostering or sabotaging personal growth. Dr. Chatterjee also challenges the notion of harsh self-discipline, advocating instead for compassion, curiosity, and self-trust as the cornerstones of lasting change. In this interview, you'll learn: How to Build Habits That Stick How to Create a Supportive Environment for Change How to Reframe Negative Inner Narratives How to Trust Yourself Instead of External Advice How to Manage Stress with Mindset Shifts How to Take Control of Your Health with Simple Choices Change doesn’t have to feel like an uphill battle—it can be an act of self-love and empowerment. Trust yourself, listen to your inner wisdom, and approach each step of your journey with patience and grace. With Love and Gratitude, Jay Shetty What We Discuss: 00:00 Intro 01:50 Make Change That Truly Last 03:18 The Chronic Lifestyle-Driven Illness 05:58 Transformative Change Comes From Within 10:16 How Do You Break a Bad Habit? 16:17 Unbecome Who You’ve Become 27:08 What are Your Non-Negotiables? 37:31 The Root Cause of Wellness Failure 43:34 The Way You Do Things Matter 48:13 Do Fitness Trackers Work? 53:04 Why Do People Think the Way They Do? 01:03:48 You Can Change Yourself Episode Resources: Dr. Rangan Chatterjee | Website Dr. Rangan Chatterjee | Instagram Dr. Rangan Chatterjee | YouTube Dr. Rangan Chatterjee | TikTok Dr. Rangan Chatterjee | Facebook Dr. Rangan Chatterjee | X Feel Better, Live More with Dr Rangan Chatterjee Make Change That Lasts: 9 Simple Ways to Break Free from the Habits That Hold You Back See omnystudio.com/listener for privacy information.
Chapter 1: How can I make change that lasts?
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All behaviours either come from the energy of love or the energy of fear. The more powerful question is not which expert should I trust? It's why do I no longer trust myself? UK-based physician.
Over a million people listen to his podcast every week. Dr Rangan Chatterjee. You say that when you went to medical school, 50% of what you were learning was going to be wrong at some point.
We just don't know which 50%.
What would you say is the number one advice for someone who says, I want to break a bad habit. It just can't happen. Hey everyone, welcome back to On Purpose. I'm so grateful that you come back every week to become happier, healthier, and more healed.
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Chapter 2: What is the number one way to break a bad habit?
Today's guest is one of your favorites, Dr. Rangan Chatterjee, a UK-based physician, an author, wellness expert, and podcast host known for empowering people to take control of their health through simple lifestyle changes to rethink it.
His sixth and latest book, Make Change That Lasts, offers a personalized approach to simple nine strategies for lasting change in daily life to unlock long-lasting health and happiness. This, I truly believe, is Rangan's best book yet. And that's saying a lot. He's had some incredible books out the last few years. Go and grab your copy right now. You won't regret it.
And make these nine strategies a part of your daily life. Welcome to On Purpose, Dr. Rangan Chatterjee. Rangan, it's great to have you back.
Jay, I love coming on your show. You're such a wonderful host and I'm looking forward to our conversation.
No, it's so great to have you here always, Rangan. I really enjoy our conversations. I enjoy our interactions offline as much as I do online. And I remember when you were talking about this book with me when you were first, I think, putting it together.
And there was this excitement that you had and this look in your eye where it was like, this was the first time it was like a medical doctor was writing somewhat of a philosophical, spiritual book. but with a scientific lens. And I think it's come together brilliantly. So congrats on trying to mesh those things together.
Yeah, thanks. It's the book that my heart wanted to write. I would say more than anything I've ever done before. This has come out to me. It had to come out of me. And I'm in that funny position, Jay, where I feel that I've already had the success through writing the book. Yes, I hope it lands with people. But even if it doesn't, like I've won by writing it.
And it's been a really authentic process. And frankly, it's about something I'm super passionate about, which is helping people make change that lasts. I think the title says it all. We can all make change. But often it's only for a few weeks or a few months. How many people can make change that truly lasts? How many people can truly transform their lives for good?
It's not as many as we would like. And this book is my attempt to help people solve that problem.
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Chapter 3: Why is self-awareness important for change?
How do we blend them together? And I'd like to think that I've done that throughout my career, and hopefully in this book, give people a real practical toolkit.
Yeah, and that definitely resonates. And the one thing that caught my eye when I was reading the book, I wanted to ask you, why have you never told a patient to quit smoking, to just quit smoking? Why have you never said that?
I've never told a patient that they must give up smoking. Because I don't think that's my role. And I think this is where we go wrong in medicine. And frankly, in any relationship, because what is the relationship I have with my patients? It's a doctor-patient relationship. But this principle kind of works, parent-child, husband-wife, boyfriend-girlfriend, these are just human relationships.
Nobody wants to be told what to do by somebody else. At some point, if you're going to make transformative change, it's got to come from within. So one of the things that I've always rebelled against in my career as a doctor is this rather paternalistic approach that we get taught in medical school that doctor knows best.
Patient comes in, you tell me what the issue is, then I'll tell you what's wrong with you and what you need to do. Some people may be able to make that approach work. I couldn't. And I'll tell you why I couldn't. If a patient comes in and asks for my opinion, that's very important. One thing I've tried to change in my life over the past few years is never to give unsolicited advice, right?
So if the patient's in in front of me and says, Dr. Chastity, listen, I'm not feeling good. What impact is smoking having on my health? I feel that my role as a fellow human being is is to explain to them what impact I think smoking is having on their health.
Now, if at the end of that conversation, if I'm confident that they've understood me and that they've retained the information and they say, hey, Dr. Chatterjee, I understand what you're saying, but I get so much enjoyment out of smoking that I'm prepared to put it with the consequences, I don't feel it's my job to change their minds. I feel it's a deep respect that I have for my patients.
If they understand it and they want to do it, I'm okay with that. And I'll tell you, Jay, what I've learned over the years is that by taking that approach, I feel I've had really good compliance with my patients, like really good compliance. Like a lot of doctors will say,
I have this course called Prescribing Lifestyle Medicine that I created with the Royal College of GPs with a friend of mine, with a colleague. And we have trained thousands of healthcare professionals around the world in the principles that I talk about in this book and my previous books.
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Chapter 4: How can my environment influence my habits?
And one of the things people would say to me, doctors would say, hey, Dr. Chastity, listen, I get all this, but patients don't listen to what we tell them. And even the way that they phrase that is really interesting to me. I don't tell my patients what to do. It's not my role. I want to connect with my patients. I want to then educate and empower them, but I always want to connect first.
So going back to your initial question, why have I never told a patient that they must give up smoking? It's not my role to do that. And here's what happens. When you treat people like an equal, you don't look down at them. You don't think that you know better than them. What will often happen, they may say, I want to smoke, right? I understand, but I enjoy this.
they'll come back two months later. They'll be like, hey, Dr. Chatterjee, you know, I said I wanted to keep smoking because I enjoy it so much. Actually, I've been thinking, can you help me start to change that? But often if you say you must give up smoking, it's going to give you cancer. It's going to increase your risk of heart attacks. I just don't think that works in the long term.
You make short-term change, but as per the title of this book, you don't make change that lasts. And that principle, frankly, as I say, applies far beyond the doctor-patient relationship.
Yeah, I mean, I love hearing that because I think there's such a humanity to it. And also, a big part of making change that lasts is someone making change for themselves. Exactly. They really believe... that this change will help them be a better parent, a better professional, a better person, a better functioning human.
And if I feel pressured into making change, or if I feel pushed into making change, then chances are I'm going to fall right back into that habit. So if someone does come up to you and say, Dr. Chatterjee, how do I break a bad habit? What would you say is the number one advice for someone who says, I want to break a bad habit. It just can't happen. It's just never happened.
There's many ways of tackling bad habits. But if you're asking me for the number one tip, it would be related to our environment, right? So we don't realize how much our environment influences our behavior. I feel that being here in LA. I've been here for a week now. The people I've been hanging out with... over the past week are really into health and wellness, right?
So everyone around me who I'm interacting with wants to eat well, they want to go to bed early, they want to look after themselves. So even though I'm away from home, when I'm in this exciting city, I naturally respond, right? It's been really telling for me. And it really gave me an insight as to if you live in an environment
where your family, where your friends, where the things you have in your house are encouraging unhelpful behaviors, you're going to be struggling, right? You're going to be constantly fighting your environment. So what does that mean for an individual who's trying to say to me, I want to eat less sugar, for example, which is very common, right? Especially at New Year.
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Chapter 5: What are the three Fs for managing cravings?
behavior change becomes so much easier because you're not trying to fight yourself. Does that all make sense?
It makes a lot of sense. I mean, two things came to mind as you were speaking. The first was you can't change something you hate. You can only change something you love. And that includes yourself. Because if you hate something, how much energy will you give it? How much focus will you give it? How much direction will you give it? Whereas when you love something, you'll be present with it.
You'll be right there with it. And I feel we're trying to hate ourselves into change.
Yeah.
And you're so right. I remember years ago as well, like... having a very, very harsh negative inner voice. And it did all the things you said. I would shame myself. I would guilt myself. I would judge myself. And none of that helped me change. If anything, it took longer for me to get back to where I wanted to get to.
Because when you fall off after 14 days of meditation, now when you're judging and guilting and shaming yourself, you feel like you can't do the thing unless you can be perfect.
Yeah, and then you go to more unhelpful behaviors. And in some ways I've realized you would have been better off never doing those 14 days in the first place because you feel like a failure. And, you know, it's interesting. Someone once asked me about what are your non-negotiables, Rangan? And I realized, Jay, I no longer have any because a non-negotiable to me feels like a harsh rule.
So let's use that through the lens of this meditation practice where I tried for 14 days. I miss one day. I beat myself up. Now, yeah, I meditate most mornings, but not every morning. And if I miss, I'm like, okay, yeah, sure. I didn't do it today. I'm a better person. I'm a bit calmer when I do meditate. Yeah, I must make sure I do that tomorrow. It's a very different relationship.
The energy behind the behavior is completely different. So I was like you, Jay, I don't want to make it practical for people. So I have these three questions I ask myself every morning, but one of those questions I think really applies here. So you teach your audience, Jay, on a consistent basis about living an intentional life, a purposeful life, right?
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Chapter 6: How do I trust myself in making health choices?
It's showing people, educating them that, oh, the way you do things matters, how you live each day, the choices you make, the way you talk to each other, right? These things really play a role. And Jay, I often think, you know, I was thinking about this on the plane over to LA this time.
Rangan, why do you have such a, I don't know if I can call it unique perspective on health, but it's not the normal perspective, I would say, that most medical doctors have. Would you agree with that?
Yeah, compared to most, absolutely.
And I think one of the reasons why, and there's many reasons, including my cultural upbringing, probably similar to yours, where we grow up with this more holistic approach, these ideas that food is medicine, all those kind of ideas. But I think my filming that BBC documentary series over two or three years... I think it gave me an insight that very few doctors ever get.
Even if you're a disenchanted doctor and you think 10 minutes is not enough, which it isn't, and you figure out a way to spend one hour with your patients. What I learned on filming that series when I would live alongside families for four to six weeks, sometimes I'd stay overnight in their house, okay? I got to see stuff that that people rarely get to see.
I got to see, oh, wow, they've got these symptoms, but I'm noticing how the husband and wife are talking to each other in the evening. Oh, I wonder how that relationship is impacting their physical health. And I would do this with all kinds of families in all different areas of the UK. So it gave me a rather unique insight where this idea is that
Literally 99% of what happens to your health, I know this sounds really obvious, it's outside the doctor's surgery. It's how you live your life. It's how you approach adversity. And so I think it's kind of given me this rather unique view. I think my 23 years of clinical practice has also taught me that there's no one right approach.
So you, as you say, you can hear all the experts online you want telling you about the high protein that you need online. And you could keep trying it or you go, wait, well, you know what? I don't think that's the right approach for me at this point in my life. And that secondary bit is another key piece.
It might be later, but right now for the state of your life and your health, it's not working for you. And we need to learn to trust ourselves more.
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Chapter 7: What role does mindset play in behavior change?
Now, I'm not trying to wade into politics here. I'm trying to take a step back and go, to me, and I'm not American, right? So I acknowledge that, put that out there. To me, it seems like madness, right? There's a chapter in this book called Take Less Offense, which is an over-reliance on being right, on need to be right. And I explained in that chapter that nothing in life is inherently offensive.
If it was, we'd all get offended to the same thing. If it was that thing that was offensive, all of us would find it offensive. If we don't all find something offensive, It means that thing isn't offensive. There's something inside of us that's been activated or being triggered. So that whole chapter is about helping people understand that you don't need to take offense to everything.
You can choose not to. You can choose to go, wow, why has that person got a different view to me? Why does that person see the world so differently from me? You know, I think I might have shared this last time I was on your show, Jay, but one of the phrases that has been transformative for me is if I was that other person, I'd be behaving in exactly the same way as them.
And what I mean by that is if I was that other person with their parents, with their childhood, with the bullying they experienced, with the friends they had at school, with the first boss who bullied them on the workplace, whatever it might be, if I had their life, I would probably see the world in the same way as them, and I'd probably act in the same way as them.
Now, this doesn't mean I'm saying this excuses poor behavior. No, I'm not saying that. What I'm saying is, instead of jumping to judgment of other people, which I think is a toxic behavior, I think it's a behavior that won't help you make change. I used to be judgmental. I'm not anymore. You can change this. We said before how our behaviors are driven by our beliefs.
None of us came out of our mother's womb with these beliefs, right? We didn't. We developed them based upon what we experienced throughout our life. It's a much lighter way of interacting with the world when you go, wow, why do they think in the way that they do. Now, you don't have to choose that approach to life. But if you're someone who's walking around taking offense to everything, okay?
And I say this, I promise you, I say this with compassion, Jay. If there's anyone listening who thinks that they're a person who's constantly berating the drivers on the freeway, taking offense to everything they see on social media, my invitation to that individual is, hey, that approach to life may not be serving you. You may have an over-reliance on being right.
And in that chapter, I make the case that actually, Thinking that everyone in the world is going to see the world in the same way as us in a world of 8 billion people is actually quite an arrogant way to think. And I'm not judging when I say that I used to think like this, Jay, right? So why I share that is because I want people to know I know what that feels like, and I know you can change that.
If you choose to not take offense and interact with compassion, why does that person think the way in which they do you will naturally make better choices because you're not generating that emotional stress. You go on Instagram or Twitter or X and find a comment really irritating or someone's viewpoint really offensive and start to get involved with them, of course you can do that.
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