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Dr. Patrick Hanaway joins me on The Doctor’s Farmacy to talk about post-COVID syndrome, also called long haulers syndrome, which is when a patient who’s had COVID experiences long-lasting symptoms. Functional and integrative treatments are key in addressing this problem; Dr. Hanaway and I discuss certain factors that tie into this, like mitochondrial energy production, how we can use them to support healing, and much more.⁣ ⁣ Dr. Patrick Hanaway is a board-certified family physician trained at Washington University. After 10 years as Chief Medical Officer at Genova Diagnostics, Dr. Hanaway became the Chief Medical Education Officer for the Institute for Functional Medicine. In 2014, Dr. Hanaway was the founding Medical Director of the Cleveland Clinic Center for Functional Medicine. His research focus is on nutrition, the microbiome, and evaluating value in Functional Medicine models of care. Currently his teaching focus is on cancer, COVID, and uncertainty.⁣ ⁣ Dr. Hanaway was initiated in 2009 as a Mara’akame (Indigenous healer) by the Huichol people of the Sierra Madres in Mexico. He holds community fires, leads ceremonies, and offers traditional healing sessions. This part of his practice provides some much-welcome spiritual and emotional insight into addressing our imbalances as a nation. ⁣ ⁣

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Today we’re going to cover burning calories vs. burning fat calories. When you exercise, you will rarely burn any fat calories at all. The calories that you burn when you exercise are mainly stored sugar calories in the form of glycogen. What determines if you’re going to burn fat calories is keeping your dietary carbohydrates or glucose low. Drinking things like Gatorade or eating fruit after a workout will pretty much nullify any benefits of exercise. This is because you will burn up that sugar instead of your own fat. If you exercise in the absence of glucose and sugar in your diet, you will trigger hormones that will work for you 24-48 hours later when you’re sleeping. The benefit of exercise is mainly in recovery. But, if you have any sugar before, during, or after exercise, you won’t burn fat calories. When eating fewer calories, it matters what kind of calories you’re eating less of. Fat calories are neutral when it comes down to triggering insulin. If you’re eating fewer carbohydrate calories, that’s good. But, if you’re eating fewer fat calories and keeping your carbohydrate calories high, you won’t lose weight. It’s not about burning calories. It’s about burning fat calories. To burn fat calories, you have to keep your glucose and sugar as low as possible (20-50g per day or less).