EP 33: Built To Last: Avoiding Frailty, Preventing Injuries, and Aging Powerfully
The Vitality Collective Podcast w/Dr. Jeremy Bettle
Release Date: 08/13/2025
The Vitality Collective Podcast w/Dr. Jeremy Bettle
Episode Summary Dr. Michael MacPherson joins the show to break down blood flow restriction training from the ground up, covering the biology, the practical application, and the creative ways it's being used far beyond the traditional rehab setting. We dig into the three core mechanisms driving BFR adaptations, why it produces similar hormonal responses to heavy lifting with a fraction of the load and muscle damage, and how to start using it safely whether you're recovering from surgery, training for performance, or simply trying to stay strong as you age. This is one of the most evidence-based...
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Episode Summary Dr. Paul Hansma, a physicist at UC Santa Barbara, shares his personal journey from five years of debilitating chronic shoulder pain to complete recovery through brain retraining. We explore the critical difference between acute tissue injury and chronic pain that lives in neural pathways, why physical therapy and surgery often fail to resolve persistent pain, and the science behind pain reprocessing therapy. Paul breaks down the sensation anxiety theory, explains why fear amplifies pain signals, and provides practical tools for interrupting the pain cycle including breath work,...
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Episode Summary Former Head Strength and Conditioning Coach of the LA Lakers, Dr. Tim DiFrancesco joins the show today to discuss his journey from the NBA to building TD Athletes Edge, where he helps everyday people train like athletes. We explore the gap between what elite sports medicine looks like and what the general population actually needs, why most people overcomplicate recovery, and how to build a training program you can actually sustain for decades. Tim shares insights from working with Kobe Bryant, the importance of finding your sustainable training intensity, and why motion...
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Episode Summary Dominic Matteo joins the show to discuss why most people don't need another diet plan. They need skills. Drawing from his own 125-pound weight loss and over a decade coaching thousands of clients, Dominic breaks down the difference between knowing what to eat and actually being able to do it consistently. We talk about the continuum mindset versus all-or-nothing thinking, why external structure often needs to come before intuitive eating, and how to build sustainable change by doing the best you can where you are with what you have. Guest Bio Inspired by his own journey...
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Trusting the process, navigating imposter syndrome, and earning your place in high-performance sport. Olympian and professional sailor Anna Weis shares what it really takes to belong at the highest level. Episode Summary Anna Weis is the first woman to serve full-time as a grinder and jib trimmer in SailGP, racing 50-foot foiling catamarans at over 100 kilometers per hour. She went from summer camp sailing in Fort Lauderdale to the Tokyo Olympics, then broke into professional sailing in a role many doubted a woman could physically handle. We explore the work ethic instilled by her high...
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Episode Summary A Conversation Between a Performance Coach and Dietitian. It's January and the gym is packed with people who have no idea where to start. Instead of gatekeeping or complaining about New Year's resolutioners, Jeremy and Erika break down exactly how to walk into a gym for the first time, find your spot, and build a sustainable strength training practice. This conversation emerged from real questions Erika's clients asked about starting in the gym, covering everything from avoiding the all-or-nothing mentality to understanding the difference between soreness and injury. We explore...
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Episode Summary You have one trillion cells in your body and ten trillion bacterial cells that make up your microbiome, meaning you're literally one-tenth human. Kara Siedman, a registered dietitian and diabetes educator working at the intersection of biotech and wellness, explains why the microbiome is the foundation everything else is built on. From the gut X axis connecting your microbiome to every system in your body, to the surprising difference between probiotics and postbiotics, to why 80% of people are walking around with some form of dysbiosis, this conversation breaks down complex...
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Episode Summary Shaun Bemis spent 20 years in Naval intelligence, primarily sitting in front of computers finding the enemy. Late in his career, something shifted during a Thanksgiving run in New York City, and he decided to run the NYC Marathon before turning 40. That simple goal spiraled into ultramarathons, including a 75K race on Mount Kilimanjaro and countless DNFs that taught him more than any finish line ever could. In this conversation, we explore the difference between grind culture and strategic difficulty, why the white belt mentality is essential for growth, and how stacking small...
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Episode Summary Taylor Johnson made what colleagues called "career suicide" when he left the NFL for esports, but that decision revealed something most people miss: elite performers across all domains face the same cognitive demands. Whether you're a 17-year-old gamer competing for millions or a C-suite executive making high-stakes decisions under pressure, your brain is your moneymaker. In this conversation, we explore how Taylor brought traditional sports performance principles into cognitive domains, why meditation is actually training for real-world pressure, and the specific habits that...
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Episode Summary Kent Bray was a director at Citibank, an Oxford Blue, and a professional rugby player who had achieved everything society told him would bring happiness. Instead, he found himself consuming 20 to 30 grams of cocaine weekly, spending £80,000 a year on his addiction, and nearly dying before entering rehab at 140 pounds. In this conversation, we explore the dangerous intersection of high achievement and internal collapse, why successful men struggle to ask for help, and the specific tools that created Kent's recovery. This is a raw, honest discussion about people pleasing,...
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In this episode, Jeremy and Michelle break down the principles of injury prevention and why avoiding frailty should be the top priority for anyone seeking long-term vitality. Drawing from Jeremy’s decades in professional sports, they connect elite athlete injury-prevention systems to everyday life—whether that’s playing pickleball, sitting at a desk, or managing bone health in your 80s. The conversation covers how to assess your current capacity, prepare for the demands of your activities, and avoid common pitfalls caused by trendy but risky training advice.
Links
Instagram: @vitalitycollectiveperformance
LinkedIn: @vitalitycollective
Episode 27 with Dr. Ramsey Nijem
Exact Three Actionable Takeaways
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“Understand where you are relative to what you want to be able to do.” In other words, assess your current capacity honestly so you can train for the demands you’ll face without setting yourself up for injury.
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“Don’t push through pain.” Pain is a signal, not a challenge—address it early so you can make lasting progress instead of creating setbacks.
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“Keep going. Just move. Do the things you love to do.” Staying active in ways you enjoy builds both physical resilience and a strong community around you.
Key Takeaways
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Injury prevention starts with matching your physical capacity to the demands of your activity.
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Avoiding frailty should be the number one longevity goal, as it keeps you active and able to participate in what you love.
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Many injuries are predictable and preventable when you track capacity and risk factors throughout the year.
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Everyday people face the same movement demands as athletes, just at different levels of intensity.
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Sitting for long periods can cause significant musculoskeletal issues, requiring targeted preparation and training.
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A clear care spectrum—from physician to PT to performance coach—ensures safe and effective progression.
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Bone density improvements require a progressive approach, not jumping immediately to high-risk training like heavy plyometrics.
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Progression for older adults should be deliberate, moving from pain reduction to strength work to landing and jump training.
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The most effective training principles—strength, power, mobility—apply across all sports and ages.
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Beware of absolute, one-size-fits-all fitness advice; personal context and gradual progression matter most.