If you missed module one on audio please start my course here: https://open.substack.com/pub/achievebalance/p/a-deep-dive-achieve-balance-course This will be a paid subscriber benefit when this updated course launches this month and adds to my educational Achieve Course Academy. If you are already enrolled in my Believe in Balance course you’ll also receive audio access to the next Know Your Numbers module with action toolkits when it goes live in Substack. Resources for my Course: This new course was developed from my book Body in Balance which I beta tested over the last 2 years with my health coaching and PT clients over on SmartMovesPT. I’m now bringing it to a larger platform and audience here on Substack while keeping up with the times, including deep dives , new video explainer shorts and a new slide deck and audio education modules like the one you can listen to in this episode. Enjoy! About this episode: Know Your Numbers We often navigate our health by “feel.” We glance in the mirror, check the number on the scale, and if nothing hurts, we assume the internal machinery is humming along in perfect harmony. However, there is a yawning chasm between the absence of disease and the presence of true health. Beneath the surface, your body is constantly generating a stream of data—hidden metrics that tell the real story of your biological age, long before symptoms ever emerge. Most people are currently operating from an invisible baseline, guessing at their health rather than measuring it. We rely on outdated standards, much like the researchers of the 1940s. When the famous Framingham Heart Study launched, the researchers actually included a budget line for ashtrays in their offices; they were so “pre-knowledge” that they didn’t yet realize smoking was the very thing driving the heart disease they were studying. Today, we are in a similar state of ignorance regarding our own biomarkers, often waiting for a clinical crisis to act. To bridge this gap, we must move beyond the frailty of “Willpower” and embrace “Skill Power.” Skill Power is the proactive application of data to behavior. By identifying the specific metrics that drive your health—your “Lead Dominos”—you can stop guessing and start managing your longevity with the precision of a scientist. The “Lead Domino”: Why Sleep Controls Your Biomarkers In the hierarchy of health, we tend to view sleep as a luxury to be sacrificed for productivity. However, as synthesis from experts like Andrew Huberman and David Dansereau suggests, sleep is actually the “Lead Domino.” When sleep is ineffective, it doesn’t just make you tired; it causes every other biomarker—from blood pressure to glucose regulation—to tumble in its wake. Prioritizing sleep is a strategic foundation for recovery. It is the period when the brain clears metabolic waste and the body modulates systemic inflammation. If you are struggling to manage your cholesterol or stick to a fitness plan, the root cause is rarely a lack of discipline; it is usually a lack of rest. Without sleep, the rest of your health markers are built on shifting sand. “Sleep is the leading factor for recovery and controlling inflammation. If sleep tumbles, everything behind that falls—whether you are managing blood pressure, blood glucose, or an exercise plan.” The 80% Blind Spot: The Silent Rise of Prediabetes Metabolic dysfunction is the great silent epidemic of our time. According to the CDC, 1 in 3 U.S. adults is currently prediabetic, yet a staggering 80% of them are completely unaware of it. This “blind spot” exists because high glucose doesn’t always hurt—at least, not at first. While it silently damages vital organs, nerves, and blood vessels, the individual feels “fine.” The threshold for prediabetes is a fasting blood glucose level between 100 and 125 mg/dl, with anything 126 mg/dl or higher classified as Type 2 diabetes. This condition is driven by insulin resistance, where cells lose their ability to process sugar efficiently. Regular monitoring is the only way to unmask this silent killer before the damage becomes irreversible. “The danger of high glucose is the impact it has on all your vital organs, your blood vessels, and your nerves. It is one of the top numbers to know.” Your “Movement Age”: The 5-Year Penalty Longevity is not just about internal chemistry; it is about how you move through your environment. Using the “Smart Movement Screen,” we can calculate your “Movement Age” by evaluating three fundamental patterns: the overhead reach squat, the inline lunge, and the high hurdle step. These movements test whether your muscles are balanced and fit. The scoring is binary: you either perform the movement correctly without pain (a “1”) or you “funk” it. For every point you score below a perfect 10, you must add five years to your chronological age to find your biological movement age. If a 40-year-old scores a 6, they are moving with the structural limitations of a 60-year-old. Our modern “high-tech habits”—the 150 times a day we check our smartphones—are prematurely aging our spines and creating a “body out of balance.” Thanks for reading Achieve Balance with SmartMovesPT! This post is public so feel free to share it. The Independence Metric: Gait Speed and 1.6 MPH Perhaps the most startling biomarker for independence is your gait speed. Clinical research identifies walking speed as a primary predictor of fall risk and long-term autonomy. The critical threshold is 1.6 miles per hour. When your gait speed drops below this level, walking is no longer “automatic.” The 1.6 MPH Threshold: Why Your Walking Speed is a Better Longevity Predictor Than Your Scale This has visceral real-world consequences. For instance, intersection lights are timed based on the assumption that a pedestrian can maintain a specific speed; fall below 1.6 mph, and you literally lose the ability to navigate your community safely. This decline is often driven by a slowing Resting Metabolic Rate (RMR) caused by the loss of muscle mass. To combat this, we must maintain our “internal furnace.” I experienced the power of this firsthand after running the Boston Marathon; when I measured my RMR on a metabolic cart the next day, my energy burn was 1,500 calories higher than predicted. This “after-burn” effect is the reward for intense activity and strength training, which protects both your metabolic rate and your gait speed as you age. The Fiber Gap and the “3 F’s” Strategy Nutrition is the primary tool for modulating inflammation, which Hippocrates famously noted begins in the gut. We can simplify this through the “3 F’s”: Fluids, Fiber, and Fats. The Standard American Diet (SAD) is notoriously fiber-deficient, with most adults consuming less than 10g per day. To provide your microbiome with a proper defense, you need to target 25 to 50g of fiber. This must be paired with precision hydration—0.5 oz of water per pound of body weight—and healthy fats. Specifically, you should aim for 3 grams of Omega-3s daily from sources like fish, flax, or chia seeds. These three pillars work in tandem to regulate your gut health and prevent the systemic inflammation that leads to chronic disease. Achieve Balance with SmartMovesPT is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Beyond LDL: The Evolution of Heart Health For decades, we were told that as long as our Total Cholesterol was under 200 mg/dL, we were “safe.” Modern science has moved past these historical, oversimplified metrics. While the ratio of HDL (”good”) to LDL (”bad”) matters, proactive “health hackers” are now looking deeper. The measurement of ApoB (Apolipoprotein B) is emerging as a far more accurate predictor of cardiovascular risk than LDL alone, as it directly measures the particles that cause plaque buildup. Furthermore, if you have a family history of heart disease, you should not wait for a standard panel to flag a problem. Pushing for advanced testing, such as a calcium score, provides a definitive look at arterial health that a simple blood test might miss. Your Next Steps: From Awareness to Achievement Action creates momentum. The transition from “guessing” to “knowing” is the single most important shift you can make for your longevity. Whether it is the “5-year penalty” on your movement screen or the 1.6 mph gait speed threshold, these numbers are not just data—they are the roadmap to your future independence. You cannot manage what you do not measure. By identifying your specific “Lead Domino”—whether that is fixing your sleep hygiene, hitting your 3g Omega-3 target, or increasing your fiber—you trigger a chain reaction that brings your body back into balance. Which Lead Domino will you address first? Stay tuned here for the next module on gut health and if you need a coach to help you get started message me! Did You Know? These course toolkits from Achieve Balance will also be released within the resources of my new book, Closure After Stroke! Currently #1 in prerelease orders on Amazon! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit achievebalance.substack.com/subscribe
