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Unraveling the Invisible Epidemic of Anxiety in Men

Myles Spar, MD dispels the myth that men thrive under stress

“Many men feel they’re supposed to feel anxious, they’re supposed to be stressed, and that’s what keeps them on and keeps them effective and keeps them on top of their game and respected. What they don’t realize is that it doesn’t…” – Myles Spar, MD

Myles Spar, MD, MPH, an integrative medicine practitioner who specializes in men’s health, clarifies the difference between the anxious state men have grown accustomed to and being in a flow state that brings focused effectiveness and helps men create the results they want to produce without wreaking havoc on their health and happiness.

Myles Spar, MD, MPH is an integrative internist on faculty at UCLA David Geffen School of Medicine and The University of Arizona College of Medicine. He is the Chief Medical Officer of Vault Health, bringing integrated, performance-oriented medical care to all men. He works with high-performance athlete clients, including NBA players and teams, and is a board member of the American Board of Integrative Medicine

Dr. Spar is author of the book Integrative Men’s Health and author of the upcoming book Optimal Men’s Health. He works with high-performance athlete clients, including NBA players and teams, and is a board member of the American Board of Integrative Medicine.

In this podcast:

03:00 Dr. Spar discusses how anxiety shows up for his male patients and how many have associated feelings of stress as being “on”

06:55 Dr. Spar and Dr. Gottfried review the many functional tests available to measure altered response to stress

08:10 Dr. Spar talks about the disconnect between our expectation for men to share emotions and the lack of compassion they are often met with

10:14 Dr. Spar discusses a possible connection between a lack of clear roles and an increase in anxiety in men

13:10 Dr. Spar talks about how men have increased accessibility to mindfulness strategies

17:29 Dr. Spar discusses how he applies his integrative approach with NBA players

22:25 Dr. Spar talks about how food impacts anxiety and how he motivates men to change eating habits

27:28 Dr. Spar and Dr. Gottfried discuss alcohol and anxiety

28:20 Dr. Spar and Dr. Gottfried discuss CBD and anxiety

31:09 Dr. Spar answers how he helps patients address inflammation that can contribute to anxiety and dives into the importance of sleep

36:10 Dr. Spar brings up the topic of heart rate variability (HRV)

40:30 Dr. Spar details his opinion on caffeine and anxiety and specific dietary recommendations he makes for his patients with anxiety

44:26 Dr. Spar discusses the connection between hormones and anxiety

46:41 Dr. Spar suggests how best to approach anxiety in practice


Hosted by
Sara Gottfried, MD

Sara Gottfried, MD is a board-certified gynecologist and physician scientist. She graduated from Harvard Medical School and the Massachusetts Institute of Technology and completed residency at the University of California at San Francisco. Over the past two decades, Dr. Gottfried has seen more than 25,000 patients and specializes in identifying the underlying cause of her patients’ conditions to achieve true and lasting health transformations, not just symptom management.

Dr. Gottfried is a global keynote speaker who practices evidence-based integrative, precision, and Functional Medicine. She recently published a new book, Brain Body Diet, and has also authored three New York Times bestselling books: The Hormone Cure, The Hormone Reset Diet, and Younger.

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