What is Heart Rate Variability and Why Does It Matter To You?

Fit man working out

Heart rate variability (HRV) has stormed into the mainstream health and fitness world as one of the best indicators of daily and overall well-being. It’s an effective marker for sleep, recovery, performance, and health of the heart and autonomic system. 

Studies also show that a higher HRV has been linked to a lower risk of mortality, especially for sudden cardiac death

HRV might be one of the best tools to tracking acute and chronic health concerns. So what is HRV and why does it matter to you? 

What is heart rate variability? 

Heart rate variability (HRV) is the variation that occurs in the intervals between consecutive heartbeats. 

Okay, but what does that actually mean? 

Let’s start with understanding your heart rate, which is not the same as heart rate variability. Your heart rate (HR) is the amount of times your heart beats in a minute. If you take your pulse on your wrist, your heart rate is the number of pulses you feel in a 60-second timeframe. 

Heart rate variability is actually referring to the silent period in between those beats or pulses. Your heart doesn’t actually beat at a steady rate. If you have a heart rate of 60 beats per minute, your heart isn’t actually beating every second consistently. There are slight millisecond variations between each heartbeat. 

We’re not like the Tin Man. Our hearts aren’t machines that beat at the same rate consistently. Our hearts are gentle, sensitive organs that have slight (but healthy) irregularities.

Although measured in milliseconds, you can actually feel the difference in the “silent” intervals between your heartbeats. Right now, put your fingers on your wrist and search for your pulse. Take a few deep breaths in and out. You’ll probably notice that the time between beats gets longer while you’re exhaling—that’s because your heart rate is slowing down. You’ll notice the interval gets shorter when you’re inhaling because of an increase in heart rate. Referred to as sinus arrhythmia, this is the most basic way that our heart rate varies. 

I’ll reiterate that you actually want variation in your heart rate intervals, because that shows that you’re healthy! 

How does heart rate variability change? 

Your heart rate variability isn’t a static number. It’s constantly changing based on different events and scenarios, both internally and externally. 

Keep in mind that heart rate variability refers to the variation of the intervals between heartbeats. It’s not a number or time period itself. 

So a “low” HRV means that the intervals between your heartbeats are more consistent and steady. There is low or less variability. For example, if your heart rate were 60 beats per minute, the majority of your intervals might be precisely 1 second. 

A “high” HRV means that there is a lot more variation in the intervals between your heartbeats. With a 60 beats/minute HR, you might have one beat after 1.03 seconds, another after 1.06 seconds, then 1.05 seconds, then 1.01 seconds. There is more variation in the time between the beats. 

How does heart rate variability work? 

Heart rate variability is directly linked to, and controlled by, the autonomic nervous system. HRV actually is an indicator of how well your nervous system is functioning. 

There are two sides to the autonomic nervous system: the sympathetic and parasympathetic systems. 

The sympathetic system is what triggers the stress-induced fight or flight response. It raises your adrenaline and cortisol, and it prepares your body to take action against some stressor. The sympathetic system should be activated as a short-term response to certain stressful events, but it can be seriously unhealthy for your mental and physical state to live in a high sympathetic state. 

The parasympathetic system is what helps restore homeostasis (balance) in your body by pulling down the response of the sympathetic system. This controls the rest, recovery, and digestion processes. 

When your body is stressed, the sympathetic system kicks into gear. This releases stress hormones and increases your cardiac output. Basically, it tells your heart to pump out more blood, so the blood can transport oxygen to the muscles and tissues—which will help you in the fight or flight response. When the sympathetic system is engaged, your heart rate variability decreases. Your heart is generally beating faster and more consistently. 

After the stressful situation is gone, the parasympathetic system activates to slow your heart rate back down to resting. This increases your heart rate variability to restore homeostasis. 

In general, you want a higher HRV. This is because a higher HRV, or more variability between heartbeats, indicates that your body has a strong ability to tolerate stress.

A high HRV indicates that your parasympathetic system is working. A low HRV indicates that your sympathetic system is engaged, which means you’re body is being stressed out (mentally or physically). 

Why is this important? Your body needs to be able to respond to stressors, so you don’t get eaten by a bear (for example). But you can’t live in that stressed state or it would do damage to your heart. Essentially, the autonomic system and heart rate variability enable your heart to respond to different needs and situations. 

Key point: If you have a low variation in heart rate variability compared to your baseline, something is likely stressing out your body. 

Why do we need to track heart rate variability? 

Heart rate variability is the biggest marker we have to the health and wellness of our autonomic nervous system. And the nervous system is tied to every automatic process in the body like regulation of blood sugar, blood pressure, body temperature, sweat, digestion, and more.

When we understand how our autonomic nervous system is functioning, we can better understand how almost every process in our body is operating. 

HRV is especially used as an indicator of fitness, our body’s ability to handle and recover after stress, and our heart health. A high HRV is an indication of a healthy cardiovascular system. A lower heart rate with a high HRV means that your parasympathetic system and heart are working effectively to bring your body back to homeostasis after stress or exercise. 

HRV is one of the most sensitive changes in the body. The interval between your heartbeats is one of the first indicators that something is wrong. Watching for these fluctuations can alert you to changes in your health well before other symptoms show up. 

What are some examples of when HRV might change? 

  • Stress or lack of sleep: Your HRV will likely drop when you’re stressed or sleep deprived, and you’ll need more time for recovery. 
  • Intense endurance exercise: Working out acutely lowers your HRV because your body is stressed out. But during recovery, your HRV will jump back up. If it doesn’t increase, you may be training too hard or too often. This is important to track if you’re on a fitness or training plan. 
  • Substances: Drugs, alcohol, and smoking all lower your HRV. You may notice that you’ll have a lower HRV after a night out because your body is stressed while trying to detox. 
  • Dehydration: Your HRV will lower quickly when dehydrated, because it doesn’t have the water it needs to function properly. When you re-hydrate, it should increase again. 

One of my favorites uses of the HRV is that you can use it to tell if you’re about to get sick. If your HRV goes down but you’re not stressed out in any way (mental or physical), you might be on your way to getting sick. In fact, HRV usually lowers even before you develop symptoms of sickness. So if you notice your HRV is lowering, you may want to take some time to rest and recover to combat any illness about to set in. 


What affects heart rate variability? 

Our heart rate variability actually changes every day based on activity, stress, and health. It’s constantly changing in response to different situations—and that’s a good thing! Heart rate variability can be affected by age, hormones, body functions, lifestyle, external events, and more. 

About 30% of our heart rate variability boils down to genetics. But the other 70% is completely controllable. You can actually improve your HRV based on your health, fitness, recovery skills, and stress resilience

In the last section, I’ll talk more about how you can direct your HRV to improve your overall health and wellness. 

How do you measure HRV? 

There are a few different methods to measure heart rate variability. One of the most popular ways is the ECG-based (electrocardiogram) method, which calculates the time between R waves in the QRS complex. These are referred to as R-R intervals. Some trackers use PPG, which measures interbeat intervals (IBI). 

Different trackers use different measurement methods. There isn’t really one “right” way to do it. So you can choose a wearable that’s best for your lifestyle and look. 

Which wearable trackers are best? Get all the info you need here: How Wearable Tech Is Revolutionizing and Personalizing Healthcare.  

How can I get started tracking HRV? 

Everyone has a unique heart rate variability based on genetics and lifestyle. There are also a lot of different ways to measure and track HRV, so it’s hard to compare different variations. So you’ll have to track your own HRV to understand what your baseline looks like in order to utilize HRV as an indicator of your personal health. 

First, you’ll want to find your HRV baseline. Note when you’re feeling “average”—not great, not bad— because that’s usually your baseline. You’ll want to keep track of this for a week or two to get a good idea of what your HRV is. If you have a tracker, it will usually help analyze your baseline for you. 

Once you have your baseline, it’s easier to see how your body is reacting. If your HRV goes down and you have a low HRV, your body might be stressed, overworked, or overwhelmed for some reason. You could have mental stress, you could be getting sick, or you might not be recovering effectively. If your HRV goes up with a high HRV, then you might be doing something healthy for you—like meditating or being creative. 

I recommend keeping a log of your HRV, whether or not you have a wearable that tracks it for you. This helps you understand all of the different variables going on in your life that could be affecting your HRV. For example, your HRV might decrease when you’re driving. If you log this several days in a row, you might start to notice that your HRV only drops in traffic—because traffic stresses you out! 

There’s a lot that can go into HRV tracking, so keeping a log is the best way to manage and analyze all of the factors at once. Learn more about how to keep a biohacking log here.  

How can I improve my HRV? 

Here’s what will decrease your HRV in the short term: 

  • Stress
  • Poor quality and quantity of sleep
  • Food intolerances, especially lactose
  • Alcohol and/or drugs
  • Sickness
  • Medications (antihistamines, antidepressants
  • Hot therapy 

Even exercise will decrease your HRV because you’re stressing out your body. Then, your HRV will start to increase as your body starts to recover. 

Here’s what will decrease your HRV long-term, which is a major indicator of poor health: 

  • Age (your HRV will likely change as you age)
  • Chronic stress or burnout
  • Poor diet 
  • Chronic inflammation 
  • Lack of fitness
  • Chronic disease
  • Lack of sleep
  • Overtraining
  • Unhealthy environment 

If your body is stressed out in any way for an extended period of time, it will show up in a decreased HRV. This means you’ll start to notice a downward trend in your HRV over time, and your “baseline” actually starts to get lower and lower. 

A low HRV over an extended period of time isn’t a problem on its own… It’s just an indicator that there’s something wrong. So if you notice this downward trend, it’s time to chat with a medical professional! 

But there are actually lifestyle changes you can make that will increase your heart rate variability by improving your recovery and improving your health. 

So what can you do to increase your HRV, in the short and long term? 

The awesome news is that these lifestyle changes also impact your epigenetics. Learn more about epigenetics and the impact on health with the following resources:

HRV is a tracker of your health, but not a health condition on its own. If you want to improve your health, it starts with hacking your genes. 

Are you ready to get your health on track? Want to know exactly how your body and heart rate variability will respond to certain situations based on your genes and lifestyle? Want greater control over your health and wellness? 

Then you need to check out my performance coaching. We’ll work together to unlock your genetic code and come up with a specific plan for your lifestyle choices and environmental factors so you can be on the path towards energy, health, vitality, and life! 

Take your life to the next level here. 

Want more tips to optimize your health and testosterone?

Listen to the latest podcasts. Click HERE

Tracy Gapin, MD, FACS  is a board-certified Urologist,  world renowned Men’s Health & Performance Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on epigenetics, providing men with a personalized path to optimizing health & performance. www.GapinInstitute.com  

Transform Your Health With Your DNA

Transform Your Health with Your DNA - Dr Tracy Gapin

Your DNA tells a story and can transform your health. We celebrate DNA Day on April 25 every year to commemorate the completion of the Human Genome Project in 2003 and the discovery of the double helix of DNA in 1953.

But DNA Day (and every subsequent day) is more than just a nod at the incredible scientists advancing research in health and medicine. It’s the perfect opportunity for YOU to take control of your own wellbeing by taking time to understand how your DNA impacts your life—and how you can hack your genes for improved health and vitality.

Let’s take a dive into how advancements in DNA research impact you, and what you can do to take your wellness to the next level.

What is the Human Genome Project?

DNA Day is the celebration of the completion of the Human Genome Project. The Human Genome Project was an international, collaborative research project that identified and mapped all of the known human genes. It specified where these genes are in the sequence and their purpose from a physical and functional standpoint. This project has completely revolutionized the way we understand genes, health, and medicine.

Francis Collins, the director of the National Human Genome Research Institute, stated: “The genome is a history book—a narrative of the journey of our species through time. It’s a shop manual, with an incredibly detailed blueprint for building every human cell. And it’s a transformative textbook of medicine, with insights that will give health care providers immense new powers to treat, prevent, and cure disease.”

The Human Genome Project set in motion a new wave of studies looking at how individual genes play a role in physical traits, behaviors, and risk of disease. More researchers began to realize the impact that genetics has on health, especially with regards to risk of chronic illness.

Without this project, I likely wouldn’t be able to help my clients in the profound way I am able to currently through my genetics coaching. Now that we have more information about genetics and epigenetics, and now that we have more researchers participating in genetic studies, advancements are ever deepening our understanding of hacking our genes to improve wellness, lengthen lifespans, and taking health to a new dimension. I owe my work and the success of my clients to the Human Genome Project!

What is DNA?

Most people have a basic understanding of DNA, but genetics is a complicated subject that necessitates a little extra explanation. So let’s get into it just a little.

DNA (deoxyribonucleic acid) is essentially your hereditary material. Almost every cell in your body has your unique DNA sequence tucked away in its cells. There are over 3 billion bases in human DNA, and 99% of those bases are the same for all humans. It’s the sequence of that last 1% that makes us all unique and inimitable!

Genes are made up of DNA. Each gene has its own function. For example, some genes code for proteins like muscles and tissues, while others determine physical or behavioral traits. The Human Genome Project estimates that humans have between 20,000 and 25,000 genes. You have two copies from each gene, one inherited from each parent.
Genes make up chromosomes. Most people have 23 chromosomes. The chromosome is basically the structure of DNA, which is tightly coiled around histone proteins.

You don’t really need to remember all of this. What you really need to take is this: your genes are complicated. Little DNA strands make up genes that coil together into a chromosome, which sits in every cell nucleus. Different cells activate different genes, which is how your cells can have different functions (like hair proteins versus blood cells) while keeping in alignment with your basic genetic structure.

And your DNA is just the start. Your genetic sequence is the blueprint for your body and health, but it doesn’t tell the whole story. That’s where your epigenetics comes in.

What is epigenetics?

Epigenetics is how your genes are expressed, controlled by the activation or deactivation by certain lifestyle factors.

For years, people thought that genetics were unchangeable or that it took multiple generations and random mutations to change your genes. More research on epigenetics tells us that’s not the case, though. The genetic blueprint is passed down, but the expression of those genes can change throughout the course of your life. You could actually have a different genetic expression at different points in your life!

Here’s how it works. Certain external factors can turn your genes “off” or “on,” usually through DNA methylation. Methylation refers to the addition of a methyl group to a DNA strand, basically flipping a switch that turns it into the “off” position (usually). Methylation can be positive on some genes, and it can have a negative effect on others. For example, you’ll want an increase in methylation (deactivation) on those genes that cause tumor growth. But you’d want a decrease in methylation (activation) on genes that suppress tumor growth. So a risk of cancer can be programmed into your DNA, but epigenetics tell your DNA whether to express that risk or not.

Where do methylation and other epigenetic changes come from? Diet, stress, sleep, exercise, thought patterns, behaviors, and other lifestyle factors can all impact the expression of your genes.

There is a lot that goes into epigenetics. It’s an entire field of research with a lot of moving parts. You can start delving in a little deeper to learn more here: What Is Epigenetics And Why Do You Care?

More epigenetics resources to check out:

What can I do about my genes?

The Human Genome Project gave us the foundation we need to understand how genes and sequences impact health. It told us which genes need to be activated in order to protect us from disease, and which need to be deactivated in order to ward off potential health complications.

Research on epigenetics has furthered this understanding to tell us that our genes are never static. We can actually control how we activate and deactivate these genes.

That means YOU are in control of your health.

Your genetic sequence tells you where you came from, and your epigenetics tells you where you’re going. So let’s use that to our advantage! What can you do about your genes to bring you the health and life you crave?

hormone hunger ghrelin men's health

1. Acknowledge any harmful habits.

We all have bad habits. Maybe you sit on the couch all day Saturday and do nothing. Maybe you smoke when you’re anxious. Maybe you stress about little things. Maybe you pull an all-nighter when you have a project at work.

These small habits can and do add up, and they can appear in the form of negative gene expression.

Before you start making any lifestyle changes to hack your DNA, I want you to take a look at how you’re living your life now. Don’t be hard on yourself. Don’t beat yourself up. The goal is simply to understand where your current level of health is coming from.

If you want to make a change, you have to be honest with yourself about your lifestyle. Only you can make the change.

2. Discover your genetic sequence.

Your genes are uniquely yours. That means no two health plans are going to be the same. When you go into a doctor’s office, they usually only have the ability to give you a cookie-cutter plan based on your general health as it stands. But you need more than that in order to be healthy. You need a deep understanding of your health on a genetic level to ensure you’re making the right lifestyle choices for your body.

I recommend getting a professional genetics test accompanied by a comprehensive consultation with a genetics coach. This gives you data of your test results, but it also takes it one step further to understand exactly what that data is trying to tell you about your health.

Understanding is the first step to resolution and growth!

The best part about professional genetics coaching is that your data is secure. No leaks or sold data, like some of these genetic tests! The other best part? You get a customized plan built just for you, and you can track and analyze results accordingly.

3. Start hacking.

Now that you know your genes and what that means for your health… you can take massive action to improve. It’s not actually that hard to hack your genetic expression once you know what it looks like. You might need to tweak your nutrition, adjust your workouts, and bump up your sleep—but it comes down to unassuming lifestyle changes that can make a huge difference in your short-term and long-term health.

Talk to a genetics coach about designing an effective plan to hack your genes and unlock your wellness.

There’s no better time to take your genes to the next level than DNA day!

Work With Me

Going deeper into DNA

DNA is cool. I think it’s awesome that you’ve read this article, and you’re eager to take control of your health. It’s the men that equip themselves with knowledge and then take action on that knowledge that live healthy, long, vital lives. I’m excited that you’re part of that determined group of men taking your life, energy, and vitality to the next level.

Want more participation? Of course you do. Because you’re always striving or more. You want to delve deeper and start hacking your genes, so you can prevent risk of disease, revitalize your energy, and renew your vitality.

If you’re one of those powerful men looking to renew and restore your life, you should be on the path of lifestyle health program. With my suite, I test your DNA, interpret the results, and come up with a customized plan that’s specific to YOUR individual genes and lifestyle. We’ll work together to come up with a health strategy that will improve every area of your life from your health and energy to your professional productivity to your personal relationships.

It’s time for you to get in the driver’s seat of your health. With my genetics coaching plan, we’ll gas up your car, rev the engine, and zoom off.

Click here to learn more about the lifelong benefits of a personalized genetics consultation and epigenetic coaching program.

I look forward to hearing from you to revolutionize and revitalize your life and vitality. Let’s celebrate DNA day the best way by hacking your DNA and taking your health to the next level.

Schedule a consultation to learn how  understanding your DNA can help you lose weight, gain energy and even have a better sex life.

Ready to take the next steps?

Download the Blueprint

Schedule a Call

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In Male 2.0™, Dr. Tracy Gapin has turned everything we once thought we knew about men’s health and performance upside down. The old model of how to be “a man” is broken. A man who works himself to death.  Unfortunately, a man who tries to NOT get sick but isn’t really healthy either.  And a man who takes a pill for every ill but is never really cured. That was Male 1.0. Now, imagine being THE MAN ─ owning your performance in the bedroom, the weight room, and the boardroom. Living a fully optimized life. Becoming limitless. This is Male 2.0!

Tracy Gapin, MD, FACS  is a board-certified Urologist,  world renowned Men’s Health & Performance Expert, Author, and Professional Speaker. Using state-of-the-art biometric monitoring, nutrition and lifestyle intervention, Dr. Gapin coaches Fortune 500 executives and evolutionary leaders of business, sports medicine, and high performance. He specializes in cutting-edge precision medicine with an emphasis on epigenetics, providing men with a personalized path to optimizing health & performance. www.GapinInstitute.com

Want more tips to optimize your health?  Listen to the latest podcasts. Click HERE

Your Stress Resiliency and Management May Predict How Long You Live

Everyone deals with stress. But the way you respond to that stress can either grow you or kill you. That’s not an exaggeration. Your “stress resiliency”—how well you cope with short- and long-term stress—is actually a consistent predictor for health, wellness, and mortality.

Research has shown that the response to stress has a greater impact on health and longevity than the stressor itself.

Let’s take a look at why stress is unhealthy, what stress resiliency is, and how you can enhance your stress resiliency to effectively handle stressors to maintain your health now and for many, many vital years to come.

Health problems of stress

Stress takes a toll on your health. There’s no question about it. You’ve likely felt the physical effects of stress before.

You’re dealing with a stressful project at work, but that stress doesn’t stay at work. You start to get anxious, and your mind is racing a million miles a minute. Your heartbeat is faster and your blood pressure is higher. You wake up in the morning exhausted and you’re tired all day, but you still have trouble sleeping at night. Your stomach hurts, your muscles are weak, and your brain is foggy. And that motivation to finish that project has flown out the window.

We often think of stress as a mental thing associated with anxiety and depression. It is, in part, mental. But it’s also entirely physical as well. Stress shows up in your body in a lot of serious physical manifestations. Trying different treatment plans could be the way forward to help you get this stress under control. 

When faced with a stressor, your sympathetic nervous system activates and releases stress hormones like cortisol and adrenaline. This sets off the “fight or flight” response, used as a survival technique against the stressor. Physical signs of this response include:

  • Rapid heart beat and breathing
  • Increased blood pressure
  • Pale or flushed skin
  • Dilated pupils
  • Enlarged blood vessels
  • Digestion stops (blood rushes to muscles, away from stomach)

The fight or flight response can be incredibly useful when the stressor is an immediate threat to life, like if you run into a bear in the woods or your child is choking. Your body senses the stress and physically prepares to run or act. Your body actually has this response to help you react; for example, your pupils dilate so you can see more of the environment to respond to any incoming bear attacks.

But the fight or flight response was meant to be acute (short-term). It’s not supposed to last for more than 60 minutes. These hormones put your body into overdrive, literally changing how your breathing, blood, and organs function. After the stressor is gone, the parasympathetic system takes over to pull down the response and bring your body back to homeostasis.

The modern-day man is facing a unique biological challenge, though. Most of our stressors aren’t acute or life threatening. Oftentimes, in fact, our greatest stressors are fabricated in our heads. We’re stressed about being embarrassed or rejected. We’re stressed about things that are over and done with or things that haven’t happened (and may not happen).

We stress in a long-term, less tangible way. Stress is no longer: see bear, run or fight bear. Now, stress is: I have to do a presentation, but I don’t have all the information I need because Joe didn’t get it to me, and what if I pick the wrong slides, or what if I sweat through my shirt, and what if they don’t like me or I fail, and what if we lose the entire account because my ideas are no good, oh and by the way, I’ll have to run to my son’s soccer game but I forgot to pack his team snack, and my wife and I aren’t on the same page about saving our finances, and dang, I really want to go on vacation.

Did that inner monologue sound familiar? Maybe you even got stressed out reading it.

We all have stressful thoughts. But spiraling into a “stress monologue” can actually alert your sympathetic nervous system and put you into a perpetual fight or flight response. So, you put your mind and body into overdrive long-term, which is can cause serious health concerns.

Short-term impacts of stress include:

  • Headache
  • Fatigue
  • Anxiety
  • Sadness or depression
  • Restlessness
  • Lack of motivation or focus
  • Muscle tension
  • Irritability or anger
  • Appetite changes (overeating or under-eating)

Long-term health impacts of stress are linked to:

There’s no doubt that stress is a serious health problem. Stress can even alter the expression of your genes, putting you at risk for disease and illness.

But it’s not actually the stressor that’s causing your health problems. Stress is completely internal. We can either let stress seep in and impact our health… or we can choose not to. If we don’t spiral into that stress monologue, our bodies won’t have that physical response.

Introducing “stress resiliency.”

What is stress resiliency?

Stress resiliency refers to how well you can respond to and cope with stress. It says whether you freak out or laugh it off. It determines how long you feel stressed, what you think about the stress, and how you handle people and situations around you.

Stress resiliency is the top predictor for mortality. Basically, if you stress more, your risk of dying early increases drastically. If you acknowledge stress and let it go, you’re more likely to live a healthier, longer life.

“Stress resiliency” has four main factors:

  1. The stressful event
  2. The external coping resources available to us
  3. The inner coping resources we’ve learned
  4. How we mentally mold the stress

(Psst… The final two factors are the greatest predictors for mortality and longevity. You’ll see why.)

  1. Stress event: Some stressors are more “stressful” than others. For example, the loss of a spouse is probably more stressful than running late for a work meeting. In general, long-term, “heavier” stress generally puts the individual at a higher risk for health complications.

Regardless, no matter the type of stress, the impact on health comes down to your personal coping mechanisms to respond to that stressor. If you easily get stressed every day, you’ll have worse health than someone who can grieve or stress in an effective way.

  1. External coping resources: Research shows that having strong social support can enhance stress resiliency. In opposition, poor social support can actually worsen your response to stress. In fact, a lack of social support may even modify the epigenetic expression of your genes! The feeling of loneliness can actually enhance stress and worsen the ability to respond to everyday stressors, often leading to psychiatric disorders like depression, anxiety, sleep problems, and Alzheimer’s disease.
  2. Internal coping resources: However, stress resiliency is not really about what others can do for you. Studies show that how you internally manage your stress is more important. Typically, these internal resources are learned mechanisms that you’ve gathered throughout your life.

For example, Joe sees his parents handle financial stress by fighting about it. Alex sees his parents handle stress by going on vacation for the weekend (leaving Alex with the grandparents). Joe is taught that arguing is the only way to cope with stress, but Alex sees a weekend away as the solution. They’ll likely take these coping mechanisms into their adult years as well.

But it’s not all about your childhood and parents, either. Throughout your life, you’ve handled stress in different ways. Some ways have worked for you. Others haven’t. The coping mechanisms you’ve been “rewarded for” start to get engrained in your brain.

A lot of us don’t have strong internal coping resources. That’s where a major part of the problem comes in. We’ve been (accidentally) taught that we should respond to stress with anger, frustration, sadness, or other negative emotions. We’re taught that stress is evil, so we have to respond by curling into a ball to protect ourselves from it.

That’s where the fourth factor comes in. Changing the way we view stress can improve and enhance our internal coping mechanisms.

  1. Mental molding: This is my favorite part about stress resiliency. The way you view stress is actually the most important factor in how you’ll respond.

Everyone experiences stress. But the people who embrace it, rather than ignore it or let it overcome them, actually see the greatest response. Individuals who see stress as a challenge, not a threat, are actually more productive and motivated.

Here’s the proof that this matters:

  • A study at the University of Wisconsin-Madison found that people who believed stress had a negative impact on their health had a 43% increased risk of death. Those who experienced stress but didn’t see the effects as negative were least likely to die compared to others in the study.
  • A study published in the European Heart Journal found an increased risk of cardiovascular disease in participants who perceived stress as negative. Repeated results in another study.
  • A two-part study looked at adults’ “affect reactivity” to stress (how they respond to stress). The results showed that negative affective reactivity—an inability to respond positively to stress—had a significant association with mortality risk, more so than even experiencing the stress itself.

Where does this link come from?

Researchers aren’t exactly sure yet why a negative response to stress increases mortality risk while a positive response to stress may actually decrease it.

The two theories to answer this question involve sleep and energy movement.

First, people who don’t know how to handle their stress generally have a worsened quality and quantity of sleep. The brain is consciously and subconsciously worrying and stressing, which interrupts the calmness that’s required for sleep. When sleep goes awry, so does everything else. Your body uses sleep to reset everything including the immune, endocrine, and nervous systems.

But people who know how to handle stress are more likely to have effective coping mechanisms. They might meditate or workout or indulge in fun hobbies to release some of the stress. These healthy stress relievers can improve calmness, regulate hormones, and encourage quality sleep—all of which contribute to improved health and wellbeing. Certain coping mechanisms, like working out, actually make you healthier too!

The second theory is the way energy is translated. Stress creates a buildup of energy in your body. That agitated, restless feeling you get when stressed because your hormones are surging and your blood is racing. This physical response of energy can actually be productive if channeled effectively.

If you think this energy is negative, it will have nowhere to go—so it’ll start to eat away at your health. But if you see this energy is positive, you can actually use it to be more productive, creative, and action-oriented. You can utilize that energy for work or exercise, for example, to actually enhance your results.

Basically, stress can be incredibly useful and can even improve your health—when you think it’s useful.

How to enhance stress resiliency

Let’s go backwards through the four factors of stress resiliency to deepen and develop your response to stress from the inside out.

1. Train your brain.

Stress resiliency is about embracing and managing stress, not about avoiding or reducing it. So step one is training your brain to view stress as healthy.

Every time you have a stress response, it leaves an imprint on your brain so you can handle that stress in the future. This is called “stress inoculation,” where you get a mental vaccine to that stressor. Your brain actually grows and changes from the experience.

That’s why astronauts, athletes, emergency responders, and Navy SEALs all have to go through rigorous stress training. They’re put through physical and mental stress, because it hardens them to other stressors they might see in the field.

It’s time to recognize that stress isn’t against you. It’s there to help you grow. So when you start to feel that anxious, stressed out feeling, take control of your thinking. Follow this mindset process:

  • Where is the stress coming from? What is the stressor?
  • Why are you feeling so stressed out? Are you anxious about the past or future?
  • Where is the stress in your body? Do you feel it in your head, your heart, your stomach? (This brings you into the physical sensation of the stress.)
  • What can you do right now to calm those nerves? Think about your coping mechanisms.
  • Consider what you could learn from this stressor. Why is this challenge put in front of you, and how can you grow from it?

Remember- the only people without stress are under ground!

2. Develop healthy stress management habits.

Now that you’re training your brain to see stress as positive, it’s time to update your internal coping mechanisms. It’s important to develop healthy reactions to stress, so you can have easy go-to methods to calm your brain and body when amidst the chaos.

For example, you may have built up resiliency to the daily stress of your job, but you don’t know how to mentally handle the death of your beloved pet. You want to stress management tools in your belt that you can utilize when new, unexpected stressors arise.

Remember that stress is still physical. So even if you’ve got the mental side down to a science by embracing stress, you’ll still want an arsenal of healthy internal coping mechanisms that can help regulate your stress hormones.

The best internal coping resource is actually laughter. Social studies show that people who can “laugh off” tension generally have a higher resiliency to stress. This isn’t always easy to do, and it often requires a major mindset shift. When you run into a traffic jam, look for the silver lining (like you’ll miss the first five minutes of that super boring meeting). When you and your partner are in a fight, drop the anger and get a little playful. Focusing on fun can help you redirect how your brain naturally responds to stress.

By the way, throwing a smile on your face actually makes you happier. Even if you’re not feeling amazing, smiling signals your brain to release “feel good” chemicals, so you’ll actually start to feel better!

Other ways to manage stress include:

If you are struggling to figure out your internal coping mechanisms, consider talking to a professional. Therapists are trained to figure out what makes you tick, so you can find stress management tools that will work for you.

3. Get social support.

You want to surround yourself with people who care about you, support you, and love you. Interestingly, though, “social support” isn’t actually what it might sound like. You shouldn’t surround yourself with people who are just there to make you feel better or let you wallow in your stress. You want “support” in that they push you and challenge you. Your social support should give you tough love and encourage you to channel your stress into something positive.

There’s another type of social support that works well: giving social support. One study looked at the link between stressful events and assisting others. They found that going through a major stress event increased a participant’s risk of death by 30%. But there was no increase risk of death in participants who frequently helped others or gave to their community—even if they dealt with high levels of stress. The researchers concluded that helping others could actually reduce stress and mortality rates.

The goal here is to get out of your own mind and into the beauty of relationships. You want to surround yourself with people who will comfort and challenge you, while being grateful for the people you have in your life. You also want to channel your stress to become a beacon of light for others. Giving is the best way to receive.

4. Know your stressors.

The first factor of stress resiliency is just the stressor itself. Different people have different stressors that elicit different reactions. For example, you might get really stressed by traffic but not by being late. Or you might be constantly stressed about your kid or your boss or your weight, but your wife is always stressed about money.

It’s important to acknowledge what makes you stressed, so you can learn to embrace these moments. It’s not about avoiding traffic or quitting your job. You just want to understand where your stress comes from, so you can start to focus your energy on how to better embrace those areas of your life. You can then direct your internal coping mechanisms effectively.

5. Focus on your health.

There’s a fifth method to consider… your health! Stress can worsen your health—but poor health can also stress out your body. If your hormones are out of whack, it’s easier to let stress seep in.

For example, low testosterone can actually worsen stress. The symptoms of low testosterone include fatigue, insomnia, irritability, anxiety, depression, weight gain, and a loss of muscle mass. These symptoms can all make your mind and body more stressed, which can send you into a “stress spiral.”

For example, if you’re not sleeping, your body doesn’t have time to produce testosterone and clear our cortisol—so you end up with an even worse imbalance of low T and high cortisol. The higher your cortisol, the more you’ll feel those physical effects of stress. Check out these 5 easy ways to balance your hormones.

Pregnenolone is the “building block” hormone. It’s the hormone used to create all other hormones—including both testosterone and cortisol. When the pregnenolone isn’t being used to create testosterone, there’s more available to create cortisol. So keeping your testosterone high is also a great way to keep your cortisol to a minimum. Oh, and by the way, some research shows that strong testosterone levels are linked to longer lifespans. Get more info about testosterone here.

You are resilient

Stress resilience is a direct predictor of mortality. How you respond to stressful situations has a greater impact on your health and mortality than even exposure to stress on its own. A negative view of stress can lead to a number of health problems in both the short- and long-term, eventually leading to early death. But seeing stress as an exciting challenge to overcome may actually improve your mental and physical health.

So how do YOU see stress?

Is your stress going to make you or break you? Are you going to grow or perish?

Are YOU ready to transform your health?

With our high performance health program, I use testing and analysis to look at your genetic makeup and epigenetic expression to understand exactly how your body is working today. Together, we then create a personalized lifestyle plan, one variable at a time, to bring your body into its peak state.

Want more tips to optimize your health and testosterone?

Listen to the latest podcasts. Click HERE

Tracy Gapin, MD, FACS – Board Certified Urologist in Sarasota, High Performance Health Expert and Founder of www.GapinInstitute.com

How You Can Become A Biohacking Expert

Biohacking to optimize men's health

Biohacking is an incredible way for intelligent men to take their health and lives to the next level. You can essentially learn and “hack” your own body to be more productive, energetic, and vital.

But there’s a lot of material about biohacking out there… and not a lot of clarity.

So how do you know which hacks will and won’t work for your body? Which biohacks are actually going to affect your biology?

In this article, I’m going to give you some pointers to start navigating the vast and overwhelming world of biohacking, so you can become an expert safely, swiftly, and successfully.

So let’s start hacking!

What is biohacking?

Biohacking is, in essence, hacking your biology. It’s a form of self-improvement outside the conventional box of medicine.

Our bodies are affected by everything around us: food, environment, genetics, movement, and even our belief systems. You’ll even have a different biological response based on smells, sounds, and feelings around you. Your brain responds differently to jazz than to techno than to oldies rock. Your body is more energetic in certain lights than in others.

But not everyone is affected the same way by the same factors. Our bodies are complicated and unique.

Optimize your Health with Dr Tracy Gapin. The body is a complex system.

Biohacking has shown the medical world something invaluable. Humans are more than their genetic blueprint. We’re even more than our food. We are the sum of the entire world around us.

Even more importantly, biohacking tells us that we have control over our health, wellbeing, and life. You can change the variables to impact how your body reacts in certain situations.

So how can you get started with biohacking?

Biohacking isn’t consistent

This is where we lose a lot of men who aren’t committed enough to keep going. Because there aren’t any right or wrong answers when it comes to biohacking. It’s not black and white. It’s a lot of trial and error, which can feel exhausting at first.

Everyone has a different body composition, which means everyone will have different biohacking needs and reactions. As a basic example, you might need 1,800 calories in a day to maintain your weight, but your buddy might need 2,400 calories to maintain the same weight. Or you have a deficiency in vitamin D, while your buddy gets a lot of sun but is deficient in vitamin B12.

Everyone’s needs are uniquely theirs, which means their biohacking plan has to be personalized as well.

Get your edge back. A men's health and precision performance program.

Moreover, everything we do works together—or works against each other. The food you eat impacts your supplements and medications, which affects your fasting days, which impacts your workouts. There are endless variables, which can make it even harder to keep track of it all.

That’s why you have to keep track of it all. You want to do your research to see which biohacks might work for you, and then you want to keep a record to see if they actually are or aren’t working effectively for you.

In the rest of this article, I’ll teach you how to research and discover biohacks and then how to maintain records to determine their efficacy for you.

(I’ve repeated the phrase “for you” a lot because I want to emphasize that biohacking is an entirely personal process, designed and crafted FOR YOU.)

Researching biohacks

Determine what you want to improve.

You don’t want to just start throwing around biohacks and hoping one sticks. Think about which area(s) of your health you want to change. Create a list, and pick the one or two that are most important to you for the time being. For example, you might want to boost your productivity. When you boil “productivity” down, you really want more focus and attention so you can be more productive during the day. Now you have your starting point for your research!

Read studies.

Real research is the best research. You want to pull the majority of your info from legitimate studies and experts, like PubMed or ScienceDirect.

Still, keep in mind that experts aren’t perfect and no study is fool proof. Everyone’s biology is different, which means your reaction could be completely different than those in the study.

Research is constantly changing as well. Different methods and processes can come out with different results that may or may not have an impact on you specifically.

Plus, studies are made to isolate variables. So if they’re looking at the effects of vitamin C, they’ll remove all other supplements and variables so they can see just what the impacts of vitamin C are alone. That means if you take vitamin C and vitamins D and B12, you might see a different effect than isolated vitamin C.

Studies are a great way to determine the safety of a biohack and how it might impact your body, but even the strongest research won’t give you the full story. Your body is a system of interdependent networks, and nothing works in isolation—so studies in isolation also aren’t the end-all-be-all. You’ll need to try it for yourself and keep a log of your results to truly understand the impact (which I’ll dive into more below).

No amount of research will give you complete certainty.  


Look at online communities.

There are thousands of online health forums—some better than others. Forums, communities, and Facebook groups like Smart Men’s Health, are a great place to get ideas and see how people like you are implementing biohacks in their daily lives. This is a cool way to learn more about your interests and get an “inside scoop” in the biohacking world.  

As always, though, use your judgment. Everyone has the right to their opinion—but you don’t need to listen to all of them. Take in opinions and ideas, and then formulate your own.

Take notes.

The more notes you have, the better. As you’re researching, it can and will get overwhelming at times. There are going to be hundreds of experts contradicting one another. Everyone has an opinion, and those opinions may or may not be legitimate.

You could spend hours getting lost in the research. But note taking can help narrow your search and focus on those areas that matter most to you. Plus, you’ll have notes you can draw on moving forward if you choose to try out the biohack. This can be really useful when you’re looking at the effects of the biohack.

Most importantly: take note of safety. Don’t try a biohack if there are any cautions or dangers that are known and present.

What do you care about?

When doing your research, you especially want to take note of the following information, especially with regards to supplements.

Method: What are the best ways to utilize this supplement or hack? For example, supplementing with folate is healthy. But most formulas use folic acid, which doesn’t replace bioavailable folate. In fact, folic acid may cause methylation, which can impact your epigenetic expression. Another example might be B12 vitamins versus B12 shots, which can have completely different reactions based on the rest of your regimen. While researching, you want to research how different forms of utilization impact safety and efficacy.

Ingredients: Every single ingredient on the label matters. No supplement is completely isolated without inactive ingredients. So you want to take different ingredients and variables into account, especially with regards to your supplements. Keep in mind that there are no standards for supplements, so manufacturers may not even list all of the ingredients (especially if they’re toxic or unhealthy). I recommend looking up the labels online to get a fuller depiction of what’s actually inside the bottle.

Brand: I’ll repeat- there are no federal controls on supplements like there are with prescription drugs. All quality assurance and testing is performed by the company or a third party hired by the company. That means brand reputation is one of the most important aspects to determining the efficacy of the bottle. Look at reviews and discussions about the brand to ensure it’s legitimate and safe.

By the way, expensive doesn’t always mean better. A higher cost should be associated with higher quality ingredients—but make sure the reputation and reviews reflect that!  

Dose: How much you’re actually getting has a huge impact. Sometimes, one dosing of a product can offer healing benefits, but just a few more milligrams and it can be lethal. For example, aspirin is a great way to manage pain, but you can do serious (if not deadly) damage if you take too much. Supplementing with 5mg of zinc may be healthy, but 50mg can actually be dangerous. It’s not even that dosing is always fatal, either, but it may have more side effects. Red light therapy on a weekly basis may have positive anti-aging impacts, but multiple times per week can lead to dryness and dehydration.

Still, some doses can actually be lethal. Be aware of the LD50, which is the Lethal Dose 50%. This refers to the dose that would kill half of the test subjects. You want to make sure you’re aware of maximum dosage levels and lethal levels.

Don’t get scared off here. Even water can kill you in large quantities. The goal is to be aware of effective dosing and reduce your risk of taking too much. When in doubt, start with the lowest possible dose and work your way up.

Use it as a trial.

You’re never going to be completely confident with a biohack, no matter how much you research it. You simply need to use your common sense and try it out!

Remember that nothing is set in stone. The whole purpose of biohacking is trial and error to find what will best work for you.

I’ll repeat: don’t get risky here. Don’t try out dangerous or potentially lethal biohacks. That’s not worth the potential “error.” You’ve got one body. Keep it simple.

Start with low-risk hacks.

Get into the swing of things with low-risk hacks that are well researched and easy to implement. Some common places to start with biohacking:

  • Watch the labels on your food, especially your produce. Switch to organic fruits and veggies. Go for grass-fed beef and pastured eggs.
  • Incorporate more grass-fed butter, like Kerrygold, in your diet. Ghee butter is another great alternative.
  • Reduce your sugar intake. (You’ll actually have more energy when you have less sugar.)
  • Use a foam roller to ease aching and sore muscles.
  • Drink structured, alkaline water.
  • Go outside more to breathe fresh air and get sunlight.
  • Take a cold shower.
  • Meditate and be grateful. It actually changes your brain chemistry!
  • Listen to brainwave frequencies. Beta frequencies make you more awake and alert; alpha puts you into a meditative state; theta accesses your subconscious mind; and delta puts you into a deep sleep.  

Wait, those are biohacks? Eating butter is a biohack? Yup! It doesn’t have to be scary or hard. It’s about understanding how to fuel your body in a way that works for you.

But, putting butter in coffee might work for you, but it doesn’t work for your lactose intolerant friend. That’s where understanding your body and keeping a record comes in.

Biohack recordkeeping

So you’ve done all the research. You may be feeling a little bogged down, and you’re not really sure which way is up.

How do you know what actually works?

Unfortunately, you don’t know if it’s going to work… until you try it.

And even after you try it, you won’t know for sure unless you do some serious analysis with how your body reacts to it, especially in relation to all of the other variables going on in your life.

It’s time to make yourself a science experiment—and have fun doing it! You’re about to embark on a journey that can completely hack your mind, body, and wellness to take your life to the next level. Every “experiment” or trial you run is ushering you to the next step… so take notes, be thorough, and stay pumped!

It’s time for you to keep a daily log of everything going into your body and going on around you. You want to understand exactly how your body is responding to the smallest moments and changes, so you can amplify ones that work and negate those that don’t.

But how do you keep a biohacking log?

Choose your variables.

What are you actually going to try out? You want to list all of your variables, including constants and ones you change, so you can understand how the different factors are interacting.

Some common variables you’ll want to track:

  • Food/nutrition (especially macros and micros ratio)
  • Sleep quality and quantity
  • Intermittent fasting
  • Movement (exercise, daily activity)  
  • Supplements (brand, dosing, etc.)
  • Light exposure and spectrum (quality)
  • Air quality
  • Stressors
  • Water intake and quality
  • Organic vs non-organic
  • Mold and chemical exposure
  • Toxin intake
  • Illness
  • External events (happy, sad, or other)

The time you do everything is also important. For example, when are you eating? Eating carbs first thing in the morning might leave you tired, but a carb mid-day snack might be helpful for you to finish off the workday. Or, when are you going to sleep? This could impact your circadian rhythm and sleep quality.

The more variables you log—no matter how small—the easier it will be to track the outcomes.

Create your results.

What happens when you change certain variables? How do you feel?

I recommend that you come up with a list of decently quantifiable results, so you can easily measure and analyze your progress. Some results could include:

  • Energy
  • Focus
  • Awareness
  • Mood
  • Productivity
  • “Flow” or creativity
  • Clear headedness
  • Bloated (physical heaviness)
  • Muscle stiffness and soreness (inflammation)
  • Stress resiliency
  • Emotional acuity
  • Endurance
  • Performance
  • Recovery time
  • State of mind
  • Body temperature

Then, you might rate each of these on a 1 to 5 scale. This can help you compare results on a daily and long-term basis.

Ask reflective questions.

Your log doesn’t have to just be about data. Make it a living document. Include speculations, uncertainties, thoughts, and ideas. These might come in handy in the future.

For example, you could add a note: “Took my vitamin C at 9am instead of 8am and felt stronger. Maybe I need to take it with breakfast?” This essentially creates a theory for yourself that you can test at a later date.

The more you include your thoughts and feelings, the easier it will be to evaluate results.

Keep it simple—or complex.

Make your log as simple as you want… or as complex as you want. The goal is simply to make the log easy enough for you to use that you will actually utilize it on a regular basis.  

I recommend using Evernote. You can sync the mobile app with your desktop, so you can take notes anywhere and everywhere. It’s free and easy to use, so you’ll be eager to keep up with it.

Make sure you use a secure tracking application. You’re essentially logging your own health, so you don’t want any information getting leaked. Be careful and aware of what you’re putting out there.

Tip: If you use Evernote or another centralized tracking app, create your own hashtags so the documents are easily searchable. For example, #dropped could signify that you stopped using a certain supplement. If you want to find the day you stopped taking zinc, you search #dropped and #zinc to find it!

Tip 2: Save every document. The goal is to track your changes, so you don’t want to delete old information that could be important in your scientific quest.  

Make changes one at a time.

Don’t throw yourself into a bunch of biohacks at once and hope they all stick. Like any good science experiment (which you’ve now become), you want to test one variable at a time.

Everything—and I mean everything—interacts with one another. Your supplements could interfere with other supplements and medications. Or you go to an infrared sauna to detox but you take a supplement that is preventing your detox. Or you listen to music that stresses you out more and doesn’t let your body relax in the sauna. Too many variables can make understanding your biohacks a challenge.

Be sure to look at patterns and correlations. When you change a variable, there might be an unexpected reaction. That doesn’t necessarily mean that specific variable or supplement is bad—it just might be reacting with something else you’re taking. So it’s important to test out different thoughts and theories before casting off a biohack altogether.

Why use a log?

For some guys, a log seems like overkill. “I can think about stuff and know how I’m feeling, so why does it matter?” But it does matter. The little nuances of your health can make a big difference. And if you’re entering the biohacking world, you’ll quickly start to realize that a thousand different variables can impact your wellbeing. Keeping track of them will help you understand what works, what hurts, and where different interactions are coming into play.

It also helps train your brain to notice different aspects of your health. You learn how to assess yourself on a deeper level to see how the world and your lifestyle impact you. This can show massive results in the long run by putting you into a health-first mindset. The more attuned you are to your body, the easier it will be to improve your health and implement healthy biohacks.

All the research in the world can’t compare to your own feelings and intuition. If you listen to what your body is telling you, you’ll be able to understand how to hack your own bio in the most effective way.

Your framework

You’re doing the research and you’re keeping a log. In the meantime, you also want a separate log specifically for everything you’re currently using to biohack, especially medications and supplements. We refer to this as your “framework.” It’s essentially a list of all of the biohacks that are supporting your body—aka the structure or framework of your “building”. (Your body is a temple.)

Your framework sheet is basically just a reference so you can see exactly what you’re taking at any time. This can help you make effective comparisons and change variables, but it’s also useful when you’re talking to a medical expert or genetics coach. You hand them your framework sheet and it’s essentially a master list of everything you’re taking. This allows the medical professional to ensure safety and optimal health.

What should you include on your framework?

  • Supplements, prescriptions, drugs, vitamins, herbs
  • Dose (how much of each; make sure to confirm units)
  • Form (how are you taking each, like a pill or an injection)
  • Frequency (how often do you take it)
  • Brand
  • Exercise and nutrition routines

Essentially, you can include any variables (even light therapy, saunas, or air quality) on your framework to give your doc the full picture.

Note: If you take a formula supplement or multivitamin, make sure you itemize everything within it on your master sheet as well.

Whenever you add or remove something, save your framework sheet as a separate version. This will give you a history of frameworks, so you can compare how you were feeling with each set of variables.

Conclusion

P.S. Remember that some substances are actually dangerous. If there’s a biohack you’re not sure about, talk to a professional before trying it out.

Biohacking requires a lot of research, critical thinking, and testing. But it’s worth it. When you find a hack that works for you—whether it makes you more focused or energized or happier—then you’ll see what this biohacking craze is all about.  

Your body is constantly changing, so biohacking never stops. If you get into a groove of research and log keeping, though, you’ll quickly start to learn more about your body and how it handles the world around it.

This self-awareness can (and will) ultimately lead you to a significantly enhanced life, health, and wellness.  

Are YOU ready to start biohacking?

The best way to hack your body is to make changes at its very core and foundation… with your genes!

With my genetics coaching, I use testing and analysis to look at your genetic makeup and epigenetic expression to understand exactly how and why your body is working today. Together, we then create a personalized lifestyle plan, one variable at a time, to bring your body into its peak state.

Want to learn more? Download my FREE Edge Blueprint for Men eBook. You’ll learn how to hack your biology to maximize testosterone, optimize performance, and take your life to the next level!

Download the Blueprint

Schedule a Call

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Want more tips to optimize your health and testosterone?

Listen to the latest podcasts. Click HERE

Tracy Gapin, MD, FACS – Board Certified Urologist in Sarasota, Men’s Health Optimization Expert and Medical Director of Sarasota Apeiron Center for Human Potential. Founder of www.SmartMensHealth.com