Welcome to another episode of the DBT Podcast with Dr. Neel Shah. Today’s guest is Dr. Joe Legaspi, a physician known for his comprehensive and practical approach to men’s health, weight management, and preventive medicine. With more than two decades of clinical experience, Dr. Legaspi has guided countless patients through the challenges of obesity, hormonal changes, and lifestyle health. In this conversation, you’ll learn how he tailors treatment plans for individuals, what screenings and tests are essential at different life stages, and how stress, sleep, and community all play vital roles in wellness. Whether you’re curious about testosterone therapy, coronary calcium scores, or how today’s weight-loss drugs work, this episode delivers actionable insights with a dose of humor and perspective.

(1:10) How Dr. Legaspi approaches giving advice on weight loss.

(3:02) Tailoring a patient-specific plan for long-term success.

(4:30) Will the Chicago Bears win more games than the Detroit Lions this year?!

(6:00) Why athletes aren’t always the picture of health — what tests they (and you) should get regularly. Including the truth about low T.

(7:55) How available drugs have changed in the past 25 years — and why chronic diseases are more common.

(10:37) At what point does a male need testosterone help?

(11:54) At what age should testosterone be tested?

(13:30) Sleep: how much do you really need?

(14:14) PSA testing recommendations — when to start, when to stop.

(19:00) Dr. Legaspi’s mental health recommendations.

(20:35) The importance of movement and community for long-term health.

(23:30) How Dr. Legaspi’s practice has changed since Covid-19.

(25:54) When and how often to get a coronary calcium score.

(31:06) The role of heredity in health and longevity.

(32:30) How weight loss drugs work.

(35:32) The biggest health myths — busted.

The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

Physical therapy is more than just rehab—it’s a key to unlocking better movement, strength, and quality of life. In this episode, we’re joined by Dr. Jana Richardson, a leading specialist in pelvic health, to explore the essential role physical therapy plays in both prevention and recovery. We’ll talk about the history of PT, the signs and symptoms of pelvic floor issues, and simple exercises that can make a big difference. Jana also shares her expert advice on stretching, yoga, meditation, massage, and more—plus why pelvic health is a crucial part of overall wellness for everyone.

(1:00) What’s important to know about physical therapy…and let’s learn about its history.

(3:38) Jana is an expert on pelvis health. She explains what it is and why it’s important for both women and men.

(6:00) What’s the most common symptom she sees in her patients?

(7:52) How to know the issue is a pelvic floor problem and not something else?

(12:15) What exercises can someone do to help manage pelvis floor issues?

(16:45) Why is squatting so important for mobility?

(17:26) Are massages important? What are the different types, and which ones are the best for mobility?

(20:02) How do you communicate the best pressure for you in a massage?

(21:17) What about foam rollers?

(22:20) What are the things that Jana feels the general public should know about PT?

(28:00) Jana talks about stretching, why it’s important and how to determine what stretches can help.

(30:00) On the subject of meditation – is there an amount of time that works best?

(31:35) What type of yoga can make a difference?

(34:10) At what point should a doctor refer a patient to PT?

(36:17) How many pelvic floor specialists are there and how does the future look for pelvic floor health?

(38:00) What else does Jana want to add?

The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

2:08 Aron’s been a trainer for 20+ years. What fads has he seen come and go? And what’s a macro nutrient?

4:33 What makes you hungry?

6:32 What about a vegan diet and ultra processed food?

9:55 What are the differences in body aesthetics and body strength? What is actually healthy?

15:15 Strength training. How has that changed over time and why is it so important?

18:38 What changes has Aron seen in his senior clients?

19:57 Ted Lasso – there is actually a real bar where they hang out and Aron grew up close to there.

21:58 How accurate it the show as it depicts life in Britian?

25:09 As we age, what metrics should we use to understand if we’re in good shape?

30:31 What about stretching and mobility?

31:35 What are the biggest myths in training?

34:15 What should we look for in choosing a supplement?

36:57 Now…they talk sports…and why do Americans struggle to get good professional soccer teams?

The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

1:57 Why should people see a doctor? Well, don’t wait until you don’t feel good!

4:13 While we won’t live forever…things have changed greatly to help longevity. Like what for instance?

5:46 Why do we sometimes feel invincible?

8:14 What blood tests are recommended and when?

9:30 What about the companies that want to provide myriad tests?

11:58 What about diet recommendations?

15:03 Longevity…are there common traits in people who live longer?

16:55 What about alcohol?

18:08 Inflammation…causes and ways to manage it. How do they test for it?

19:40 Drs. Shah talk about inflammation, cancer and the increase in survivors

20:52 What is the change in when someone should get a colonoscopy?

22:23 When should you think about checking with a doctor?

23:35 Why are we living longer even though living conditions are getting worse?

24:25 When should women get a mammogram? And what will come next if a problem is identified?

25:38 Pluses and minuses of MRI’s

27:20 Risks and benefits of following up on tests

28:13 What are some of the craziest things people do to damage themselves?

30:35 What about side effects of medications?

32:30 And now…they talk sports!

The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

Episode Highlights
(1:35) The origins of angioplasty and the evolution of heart care
(2:45) What the heart actually does—and what "good" blood pressure looks like
(5:15) The real risks of high blood pressure
(7:17) Why feeling healthy doesn’t always mean being healthy
(12:00) What is cholesterol? Why do we test it?
(16:44) Understanding cholesterol panels—what matters and what doesn’t
(19:37) What are statin drugs and who should consider them?
(22:18) Should you take a daily aspirin? The current thinking
(25:00) Why and how hearts malfunction—common issues explained
(28:00) Atrial fibrillation (A-Fib): What is it, and why is it serious?
(30:00) Understanding blood clots and circulation risks
(31:47) The oldest, healthiest heart Dr. Ferrera has seen—it might surprise you
(33:40) Dr. Ferrera's personal habits for heart health, including thoughts on diet, exercise, and processed food
(38:10) Alcohol and heart health—what the research says

The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.