Ep 530: Everyday Peak Performance with Dr. Tracy Gapin, MD

Join Dr. Jannine Krause as she sits down with Dr. Tracy Gapin, MD, FACS—a leading expert in men’s health optimization, longevity, and peak performance. With over 25 years of experience as a board-certified urologist, Dr. Gapin shares transformative insights into how advanced diagnostics, wearable technology, and personalized health programs can unlock your full potential. Whether you’re an entrepreneur, executive, or athlete striving for sustainable, measurable health improvements, this episode is packed with actionable strategies and cutting-edge science.

About Dr. Tracy Gapin:
Dr. Gapin is the founder of the Gapin Institute, where he helps high-performing individuals achieve peak performance through cutting-edge health programs. He is the author of Male 2.0 and Codes of Longevity and a featured speaker at top events, including NBC and Dave Asprey’s Biohacking Conference.

Resources and Offers:

• Access Dr. Gapin’s Peak Launch Program for comprehensive health optimization:
  • Email: doctracy@gapininstitute.com
  • Website: GapinInstitute.com/launch
  • Text “HEALTH” to 26786 for exclusive access.

Connect with Dr. Tracy Gapin:

• LinkedIn: Dr. Tracy Gapin
• Instagram & Twitter: @DrGapin
• Facebook: Dr. Tracy Gapin
• YouTube: Dr. Tracy Gapin

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Podcast Transcript

0:46 – Intro

2:56 – Dr. Gapin’s background

6:02 – Low testosterone 

9:02 – Conventional medicine “normal” testosterone range

11:42 – What to look for on lab and testing results

16:55 – Cardiovascular testing

18:37 – Lab testing companies

20:30 – Thoughts on “wearables”

21:56 – Blood sugar tracking

22:55 – Importance of getting good quality sleep

26:35 – Epigenetics

28:33 – When is it time to step out of the medical matrix and look into alternative clinics?

31:12 – Did you come here to “lay up”?

33:19 – Do you really need to run all these tests?

35:48 – What is it like to go to the Gapin Institute?

39:28 – Traditional healthcare

40:39 – How to find The Gapin Institute online

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[Preview] So three different studies that follow lab numbers for over 30 years,

20 to 30 years in each of these three studies.

And they all showed basically the same thing.

And that is in men, in particular, testosterone level,

specifically free testosterone, which is the bioavailable, you know,

active form we’ll talk about is down almost 50%.

You know, the phrase concierge, it should just be standard of care.

It should just be, we treat you until we’re done.

However long that may take.

And that’s really where people are

starting to wake up and demand that.

And so that’s part of what we do.

[Intro] Welcome to The Health Fix Podcast,

where health junkies get their weekly

fix of tips, tools, and techniques

to have limitless energy, sharp minds,

and fit, physiques, or life.

JANNINE: Hey, Health Junkies.

On this episode of The Health Fix Podcast,

I’m interviewing Dr. Tracy Gapin, MD.

He’s a renowned expert in men’s health

optimization and longevity.

and with over 25 years of experience

as a board-certified geologist, he’s got a lot

that he is doing with his clients.

He founded the GAPN Institute

to help high performing individuals,

including entrepreneurs, executives, and athletes

achieve peak performance through personalized health programs.

Dr. Gapin impugrates advanced diagnostics, epigenetics,

hormone therapy, and wearable technology

to monitor and transform his client’s health.

He’s got a lot going on and he’s got a peak launch day

where you can come in and have all your health stuff done

in one day.

Pretty awesome.

Now we’re gonna be talking about the decrease

of testosterone by 1% each year.

We’re gonna talk about how cardiovascular disease

is linked to low testosterone levels.

We’re gonna talk about how labs just aren’t cutting it

and what you can do.

We’re going to talk deep into how you can assess your labs, what labs to get, what labs

to look for, especially when it’s related to testosterone and cardiovascular disease.

So I have a fascinating conversation today with Dr. Tracey Gappen about all of these things.

We’re going to be talking about stress.

We’re going to be talking about sleep.

We’re going to be talking about what goes on in this clinic, such cool stuff.

So let’s introduce you to Dr. Tracy Gapin.

Dr. Tracy Gapin, welcome to The Health Fix Podcast.

DR. GAPIN: Oh, thanks so much, glad to be here with you.

JANNINE: Well, I’ve been looking over all of the stuff

that you’re up to there at your clinic

and going, oh, this is amazing stuff.

I happen to see a lot of firefighters

in the Tacoma, Washington area.

We work on a lot of optimization, but I’m a lady, not a guy.

I feel like there are some connections there that I’m missing.

So I’m really excited to pick your brain today on lots of different things.

So thank you for coming on.

DR. GAPIN: Absolutely.

JANNINE: So of course I always got to ask, you know, you are a guy, obviously interested in

male’s health.

And so was there a certain turning point in your career where you were like,

I really should focus on this longevity thing and this optimization.

How did it go?

Yeah, for sure.

So I have a background in traditional healthcare.

I’d like to say I may be recovering

board certified urologist.

So spent almost 25 years in the matrix

of disease model world of healthcare.

And about halfway through my career,

that was actually 12 years ago now,

is when I hit a wall and my own health was suffering.

And I went to see a local concierge doc

here in Sarasota, Florida.

And it was a very vulnerable eye-opening experience

to really face-moan mortality for the first time

and realize how I was this air quotes men’s health expert,

but yet I was struggling with my own health.

And that made me really open my eyes to the fact

that what I was taught in medical school,

what I had learned in six years of residency,

what I had done in 20 plus years of practice

was really just treat disease, illness, symptoms,

when they occurred,

but did nothing to really help my patients optimize

their health and improve their energy, their focus,

body composition prevent disease before it occurred.

And so through my own selfish reasons, I started going down one rabbit hole after another to

treat myself.

And I went through, I went back to school really, went through education in functional medicine

and hormone optimization and peptide therapy and longevity practices and epigenetics, which

is, you know, the science of how our lifestyle and environment affect our genes and how to

to put all these pieces together in really a cutting edge

refreshing way that had not been done before, at least I had

certainly not seen it in the men’s health space. I was able to

turn my health around. And it really changed my relationship

with my wife, my relationship with my kids and really how I viewed

my career. And I realized I had it all wrong. I realized as I was

running this thriving seven figure urology practice, I was

doing the wrong stuff. And I was focused on the wrong things. And

And so I made the massive career decision to jump off this figurative cliff and leave

that practice behind and start over, focusing on optimization and longevity and how do I

help entrepreneurs and founders and athletes and executives and high performing leaders

in the world do everything we can to get our mind and body to function like they’re supposed

to.

And it changed my life and it really has changed my career as well.

JANNINE: I’m glad you did it.

I’m glad you jumped out of the matrix.

I’m glad that you mentioned helping people before

we get to the disease state,

because as you know, as well as I do,

with the guys in particular, the prostate thing

is kind of not a if it’s the when.

And it’s so easily prevented.

And I’m seeing younger and younger guys now with issues.

And you had mentioned something in one of your notes

that I review everybody’s stuff, of course,

’cause I’m a geek, you were talking about this epidemic

of lower testosterone in younger and younger men.

And this is where I’m looking at this going like,

we’ve got younger men sicker a lot earlier

than we would expect.

And I know you’re seeing the same thing.

What have been some of the things you’ve been looking at

to kind of think, okay, what should these guys be doing

ahead of time, which would be testing,

which would be testing ahead of time, all that?

DR. GAPIN: Sure. Yeah. So let me put some framework here for the listener. What’s important to understand is

there are a number of massive longitudinal studies, one here in the US and two in Europe.

So three different studies that follow lab numbers for over 30 years, 20 to 30 years

in each of these three studies. And they all showed basically the same thing. And that is in men,

in particular, testosterone level, specifically free testosterone, which is the bioavailable,

you know, active form we’ll talk about is down almost 50% massive number. That is astounding for

just a 20 year time period and it’s continuing to drop about 1% a year. And this is why I’ve made

that the bold statement that I’ll, I’ll hate my hat on this that if we don’t change something

in 20 years from now, the entire male population is going to be impotent and infertile.

because this is not just about building muscle about looking good. It’s not just about having better

sex, not about erection quality. This is about cognitive function. It’s about mental acuity.

It’s about mood and energy and your ability to burn visceral fat and build muscle and maintain

bone health. Most importantly, it’s actually tied to cardiovascular health. So the number one cause

of death in both men and women by far is what cardiovascular disease, heart attack stroke.

sudden death. By far, that’s the number one cause of death. And there’s a clear link. Several

studies have shown a direct link between low testosterone and increased risk of cardiovascular disease,

about a 30% increased risk with men with low testosterone. So it’s a big deal that is affecting

not just sex and muscles, but really our entire life. 

JANNINE: Yeah, it’s disturbing. And to me, I feel

I feel like in the last, I mean, in almost 20 years,

17 total, yeah, I’m noticing things are increasing

in terms of severity.

I’m seeing guys in their 20s with testosterone levels

at right around 300, 200.

And their conventional docs are like,

nah, there’s nothing we can really do at this case.

And I’m like, there’s a lot we can do.

And blood sugar.

So I’d love for you to talk about the labs

and looking at what do we need to be looking at

because a lot of people are not aware

of how blood sugar impacts, how inflammation in the body impacts.

Give us a scoop on what you’re testing to kind of get–

DR. GAPIN: Yeah.

So it’s important to really understand

that blood sugar regulation is directly tied to hormone

function, is tied to testosterone levels.

And we know that men with low testosterone

have worsened blood sugar regulation, insulin resistance,

it’s called.

What that does, it makes you store fat,

makes it hard to build muscle.

It affects cognitive function.

affects metabolism and affects cardiovascular health as well. And so we know that this is starting at

a very early age. You know, you mentioned men in their 20s and 30s. I see men every day who have

dramatically diminished levels, even as young as as you know, early 20s. And it’s scary that we’re

seeing a transgenerational effect now, where from one generation to the next is being passed down

through our genes. It’s pretty scary. And so levels are declining rapidly. It’s associated with blood

blood sugar regulation problems associated with cardiovascular health.

And you bring up a great point about conventional medicine.

You know, traditional medicine is all based on CPT codes, diagnosis codes, right?

Or ICD-10 codes and procedural code CPT codes.

Well the ICD-10 code is hypogoninism, low testosterone.

But to call it low testosterone, it has to be outside of that reference range.

This is how low testosterone is diagnosed by traditional healthcare is that ridiculous

reference range on the right side of the page when you get a lab result.

Now it’s important to point out here that that reference range is not optimal ideal,

you know, where you want to be.

The reference range is actually in fact the average.

So lab core quest does a billion labs.

They do a billion testosterone levels, right?

And they look at the statistical average and then they look at two standard deviations

above and below that to create this artificially concocted quote reference range.

But I just got finished.

Tell you, wait a second, the studies show that levels over the last 20 years have dropped

50 percent.

Exactly.

That’s the problem.

That reference range is half what it was 20 years ago.

And so we are being told, no, you’re normal in air quotes.

level, even though it’s a quarter of where it should be because you happen to fall in

the bottom area of this reference range of being told you’re quote normal. And that’s

the big problem. This is why traditional healthcare is failing is we’re being pulled into this

really crappy complacent state of quote normal, which is not where you want to be.

JANNINE: Yeah. Well, I always ask people, you came to me because I’m guessing you don’t want

to be normal. Everyone wants to be above normal. And so, you know, just like your report cards,

guys, you want to be thinking about that. Now, with the parameters, right? We’ve got the

total testosterone, we got the free testosterone, the sex hormone binding globulin estrogens,

all those things. When you’re looking at the big picture for everyone, what do you think,

you know, in your opinion, what are your key markers that guys want to be getting and like

asking either their docs for or going in and doing cash pay laps to get or of course–

DR. GAPIN: Yeah. 

JANNINE: You do. 

DR. GAPIN:  So I love this question. And I really believe that every man out there needs

to be doing the diagnostic testing to really what I call quote find your blind spots because

there are a lot of issues that your traditional doctors don’t even know about don’t understand

don’t order and certainly aren’t going to get covered by insurance anyway because again

you need a diagnosis code for that to happen.

And so we can look at the different categories like hormones for example you need to be looking

at free testosterone not total.

For you know we have 50 hormones that we want to look at so many important ones are ones

like thyroid.

You know, free T3 is the active form of thyroid.

Your doctor is probably only checking TSH, which is the signal from your brain to produce

thyroid.

Doesn’t tell the whole story.

It’s missing a big, big portion of it.

You need to be looking at things like IGF-1, which is a marker, a surrogate of your growth

hormone levels.

You need to be looking at DHEA sulfate, which is the active form of DHEA, which is another

hormone that people don’t think about.

It’s incredibly important to regulate mood and metabolism and energy, and it counteracts

cortisol and it’s important for your gut and your brain.

be looking at nitric oxide need to be looking at markers of blood sugar regulation things

like fasting insulin. Your doctor is typically only looking at fasting blood sugar that does

not tell the whole story. So you want to be looking at fasting insulin, you want to be

looking at insulin resistance markers, which is based on some lipid parameters to understand

again, insulin sensitivity or how well your body is regulating blood sugar is critical

for men when it comes to energy, building muscle, burning fat, longevity.

You want to be looking at markers of inflammation, things like CRP is the one most people are aware

of. There’s also one called myeloproxidase and LPPLA2. These are other markers of inflammation.

Super important. We look at markers of detoxification. Now we’re looking,

trying to look at more functional testing. So you can look at markers in your gut of how your

your body’s clearing toxins.

Look at markers of how your gut is balanced

in terms of the microbes.

And we wanna see a good healthy robust diversity

of good bugs in our gut, so to speak,

compared to the dysbiotic or harmful bugs.

Markers of gut integrity.

People talk about gut health issues.

What does that mean?

We’re talking about the health of the gut lining

and how that can be destroyed by sugar and stress

and toxins and crummy diet.

and you can actually measure that through gut testing.

We do fitness testing.

VO2 max is a key marker when it comes to longevity

that is a measure of your fitness level.

You can directly measure that with a mask,

with a special device that measures VO2.

You can measure your metabolic rate to understand

how many calories should I be eating on a daily basis?

What kind of macros should I be eating?

Genetics help us understand based on your own actual DNA,

what foods are right for you,

what balance of foods are right for you,

what micronutrients might you need?

How do I sleep better?

How do I not clear toxins better?

All of this from a cheek swap.

We do advanced imaging as well.

I really believe in the power of full body imaging

because you’re gonna find things

that you would otherwise miss.

Amazing story I had a wealth advisor working with.

I think it was the January or February of this year.

We did a full body MRI on him.

Asymptomatic, he’s doing feeling great.

I don’t have any problems.

Why am I doing this?

I don’t need this.

Let’s just do it anyway.

And we found a three centimeter tumor

on the top of his left kidney.

And he had it surgically removed.

That’s what I used to do.

My old urology career was remove those things

laparoscopically.

He had it removed and it was in fact a kidney cancer

that we found very, very early

because of the imaging tests done to be proactive.

So it’s an entirely different approach to the world

that I used to live in for 25 years.

It’s about preventive, proactive,

being intentional and really deciding that you’re going

to find those blind spots before they become big problems.

JANNINE: So, so important, so important.

I love the whole body imaging.

I love that we have access to this now.

The bummer is, is that certain places

don’t have places like Simon Med or those kind of clinics.

Do you have that in your office?

Are you running an MRI machine with the app?

DR. GAPIN: We have it just down the street.

We have an imaging center that we partner with

so that we can get that done.

And that’s part of our packaging.

We’ll do all the blood testing, we’ll do the genetics,

we’ll do the fitness testing, we’ll do cognitive testing.

And then the imaging, we have a partner imaging center

that we use for that.

JANNINE: So cool. So cool.

In Washington state, there’s very few

total body cash pay imaging centers.

And so it’s kind of a bummer.

DR. GAPIN: They’re few and far between.

DR. GAPIN: Yeah. 

JANNINE: Yeah.

Yeah, but, but, you know, people are willing to travel.

You know, it’s cash pay, so travel.

DR. GAPIN: That’s right.

JANNINE: Who doesn’t want to go to Florida in the middle of the winter in Washington.

DR. GAPIN: It’s a great place to come in the winter time.

The other part I’ll bring up I didn’t mention would be cardiovascular testing.

One of the things that a lot of people will say is I had my LDL-HDL-12 cholesterol done

by my doctor and their fine.

I’m told that I don’t have any problems.

Some of the key markers that you’re probably not doing are Apo-B, which is a direct count,

the measure of every clot forming or a plaque forming particle,

after a genetic particle, LP little A,

which is a genetically inherited one that doctors don’t know about.

Don’t ever check. A great story around that one is Bob Harper.

He is the head fitness trainer on the TV show, The Biggest Loser.

And he looks amazing. He’s the epitome of good health.

He teaches people how to lose weight and get in shape.

And we all aspire to be just like Bob Harper. At the age of 51,

Bob Harper had a massive heart attack that almost killed him.

It just happened a few years ago in the news.

Come to find out his LP little A, a subtype of LDL was massively elevated.

He didn’t know because his doctor never checked it.

And so great example of a blind spot that is a direct, you know,

risk marker for cardiovascular disease.

We do calcium scores, a CT of your heart to look at the calcium in your

coronary vessels on every patient as well, because a lot of times you’ll find

things before they become aparent.

And sometimes when you find that it’s too late.

If you don’t go looking forward ahead of time.

JANNINE: Yeah, yeah.

Now I love that you’re doing that too.

Now here’s a question I have about that.

In terms of all the testing, what is your preferred alternative lab testing company that you go

with for the cardiovascular tests?

Since there are a few out there.

DR. GAPIN: You’re saying what blood lab company am I using?

Yeah, you know, you can use lab core.

You can use Quest.

There are a bunch of them out there.

I don’t know that that necessarily matters, although I do like to be consistent.

So if you’re going to get blood testing done, especially with hormones, I would recommend

you pick a lab and stick with that lab.

And so we always use LabCorps.

That’s just the company that our preferred lab provider for labs.

Nothing against questions from the other ones out there, but I would just suggest any of

the practitioners or patients who are doing on their own.

God forbid, stick with one lab.

Yeah.

JANNINE: Makes sense.

Makes sense.

I know that a lot of folks gravitate towards one or the other.

I like Lab Corp two.

I don’t know what it is.

Just like them.

Um, but people think about Boston health or some people might be thinking about

our Boston heart or vibrant or those ones.

DR. GAPIN: Yeah.

Yeah.

We use Boston heart for some testing.

You know, we do a, what’s called a cholesterol balance test, which is a wonderful

test for patients who have elevated lipid numbers.

And we are concerned about why and looking at possible treatment.

So a lot of patients will come to me because, you know, my doctor told me I need

to be on a statin.

And in fact, that was my story.

When I saw that const here’s doc 12 years ago,

he told me I need to be on the statin.

And before I did, that’s what triggered me

to start doing some research.

But the Boston Heart Colustral Balance Test

is a great test that helps you understand

why are my lipids abnormal.

And so it could be either production from the liver,

which is the most common predominant source

of lipid production, or absorption from the gut.

Now, if it’s absorption from the gut,

drugs like statins don’t work.

They’re the wrong drug.

You’re treating the wrong enzyme.

And so this is where, again, the diagnostics

help us understand what’s going on

so that we can better understand how do we address it?

JANNINE: Absolutely, absolutely.

Now you also mentioned a lot about wearables

and wearable technology and how that might help you

to also kind of understand friends with your body.

Give us a scoop here.

DR. GAPIN: Yeah, so I love wearables.

We use for our clients,

We use blood sugar mantras, for example.

You know, they’re not just for diabetics anymore,

where we can put a small sensor on your arm.

It looks about the size of a quarter or so.

And it’s a thin wafer that gets applied to the skin,

has a little sensor that goes just under the skin.

And it senses blood sugar 24/7 or two weeks at a time.

And we can see how blood sugar is changing.

And people will say, well, why do I care?

Why is that important?

Again, blood sugar regulation is directly impacting

your energy, your cognitive function,

your focus, your mental acuity, your ability to burn fat,

your ability to build muscle in the gym,

your ability to recover.

You know, I see so many people come in

and they’re like, I can’t lose weight.

I tried so hard.

I can’t burn those last 10 pounds or, you know,

I’m in the gym, killing myself and I’m not seeing any gains.

A lot of times it’s because you’re eating the wrong foods

for your body that may be, you know, healthy foods,

but aren’t right for you.

It might be the sequence of the foods you’re eating.

It might be stress.

It might be gut toxin issue.

It might be poor sleep.

There are a lot of things that can affect blood sugar.

And when you measure it,

you can see it directly and the numbers don’t lie.

You know, I had a woman who couldn’t lose,

but we see women, we probably see almost as many women

as we do men at Gapin Institute.

But one of the women we saw couldn’t lose weight

and she complained that she tried everything and nothing worked.

And she thought she was eating everything perfectly,

you know, like she was supposed to for her body.

We’ll come to find out her blood sugar was spiking at dinner

several nights a week, up to like over 200

for three hours at a time.

She was eating sushi.

She was eating sushi for dinner.

And you think, oh, well, sushi is healthy, it’s fish,

it’s rice, it’s vegetables.

For her, sushi was kryptonite.

And that helped us understand that she could eat

the vegetables and the fish.

And then the white rice, in a different order,

and it didn’t affect her blood sugar at all.

But for her, that particular order

made all the difference in the world

and you would never know that without tracking it.

And so I love blood sugar tracking for that reason.

I’m a big believer in aura, I’m wearing my aura ring

and I love it specifically for sleep quality.

So a lot of people tell me,

“Yes, let’s find a sleep seven, seven, seven, half hours.”

But what’s really important to understand

is that there are different stages of sleep

and some stages are more important than others.

Specifically, deep sleep is the most important stage

of sleep and then REM sleep.

and they have different reasons, different purposes,

different functions are happening.

It’s all about repair and recovery in your body

while you’re sleeping.

And you need deep sleep an hour

and you need REM sleep two hours every night

to get the good restorative quality sleep

that you’re looking for.

You know, a lot of people will tell me,

I slept seven hours, I’ll wake up,

I still feel like crap.

Well, if you’re not getting those key stages,

which can happen if you’re having micro awakenings,

if you’re having sleep apnea,

of having other problems during the night,

then you’re not getting the restorative aspect of sleep.

And that’s when you wake up and you still feel like crap,

even though you had a good seven hours of sleep.

Devices like the Aura help you see stages like that.

And so in terms of wearable,

it is by far the most validated device

when it comes to trackers.

Is it 100%?

No.

Was it gonna tell you to the exact minute,

how many hours of deep, you know, minutes to deep sleep?

No, but it’s going to help you see trends.

An example is I had a client who he was noticing

that every weekend his deep sleep plummeted,

got no deep sleep, his stress numbers went up.

We’ll talk about HRV in a moment, his sleep plummeted.

And we’ll come to find out he had date night

with his wife every Friday night.

And two glasses of wine crushed his deep sleep.

He slept seven and a half hours.

He thought he was doing fine,

but the wearable helps you see what you don’t recognize.

otherwise. And so that’s why I love the vices like the aura. And then finally,

heart variability or HRV is a surrogate as a marker, a way that we can directly

measure stress. And the leaders, the high performers, the entrepreneurs, the

founders, the athletes we work with, they all say the same thing. I’m not

stressed. Stress doesn’t bother me, right? That’s bullshit. I’m able to deal

with it. Well, the day is a lie. And you can measure HRV every day and see how

that stress is actually affecting you. And it’s very surprising to see how, again, the

numbers don’t lie when you see your HRV every day and compare it for one day to the next,

you’ll see how you have a lot of stress in your life that’s affecting you. So that’s

how I love wearables is really combining those with functional and traditional and longevity

practices.

JANNINE: It’s really nice to have that like daily check in and then you can see the trends and really

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So let’s get back to the podcast.

Now moving into a little bit more into the longevity, but also moving a little bit

more into the epigenetics side of things.

Now, are you using true diagnostics testing or do you use a different company or

what are you up to with looking at epigenetics?

DR. GAPIN: Yeah, we’re currently using a company called gene metrics and gene metrics is there.

They’re actually partnered with true diagnostic, but I’ve been using

the founders of Gene Metrics for eight years now.

And so they created a new company a couple of years ago, Gene Metrics.

I love their product.

I love that it’s easy for the consumer to understand and when I present the report,

it’s user friendly.

And it gives a lot of actionable information about nutrition,

about supplementation, about sleep, about fitness,

about detoxification, about sensitivities, about hormones.

So it gives a lot of actionable information specifically related to health.

JANNINE: Makes sense. Yeah, a lot of people starting to dive into that.

I have noticed that some of the trends can be a little alarming when you see how fast

your aging and see which organs are aging fast too. And then the call out to go back and go,

okay, now I better look at the labs to monitor that.

DR. GAPIN: Yeah, so biologic age testing, I think what you’re referring to is another awesome way to

to really understand if what you’re doing is working or not.

I’ve used the phrase, “Know your numbers,”

to really see and track trends and KPIs to know that what you’re doing.

So many people just go through the motion,

like, “Yeah, I know what I’m doing.

I do the right thing,” and they manage it themselves.

But the numbers don’t lie, and when you track data like

biologic age, you can really see if what you’re doing is working.

JANNINE: Yeah. I love doing that.

I mean, you’ve got so many different components to your

You’re gonna– 

DR. GAPIN: There are moving parts, yes.

JANNINE: Yeah, yeah, it’s impressive.

I love how it’s all a one-stop shop, you know,

and folks can come in and kind of get everything dialed in.

Now, I think probably one of the things a lot of people

think about when there’s a clinic such as yours

or an institute such as yours, they’re thinking like,

how, where do I even begin?

Like what would be a criteria for me?

‘Cause I think a lot of people don’t think,

oh, I’m not that bad.

Or they’re not thinking preventative.

So I would love to hear what you kind of say to folks

when they’re kind of like, well, we need all that.

DR. GAPIN: I love the question and, you know,

I bring up the concept of find your blind spots

because a lot of people think I’m doing fine.

I don’t need any help.

I could do it on my own and I don’t have any symptoms.

I’ll wait till there’s a problem.

I bring up the Bob Harper story.

I bring up my brother-in-law, John Florig.

He was 49 years old, looked amazing.

He was ripped and he was eating clean every day,

eating chicken and rice and working out the gym and sleeping and taking all these supplements

and doing everything right.

One morning at the age of 49, while getting ready for work, John dropped dead.

This stuff is real-life stuff that I think your health can be either your biggest asset

or your ultimate liability.

When it comes to entrepreneurs running a business, when it comes to parents who have to take

care of your kids, when it comes to being a leader in the community, when it comes to

of being a spouse, how can I, you know, function at peak

performance? And that word means something to everyone

differently. I’m not talking about being a professional athlete.

I’m talking about, how can I just be the best parent I could

be for? And that’s for me, my big why my my definition of

peak performance is how can I be the most amazing dad to my

two little kids every day? Because to me, that’s what it’s

all about. Nothing else matters if I can’t do that. And so I

like to come back to the why and and yes, we do a lot of

amazing diagnostic testing and we manage it, you know,

manage whatever issues we find. We have, you know, a team put

together to manage all that stuff. But I love the essence

question, because I think it really comes down to people need to

pay attention. They need to decide they need to quit playing

it safe and quit waiting for problems. And that’s where our

health care system has failed us is it’s instilled this

concept that we can wait until I have problems before I need to

seek help.

JANNINE: Yeah.

DR. GAPIN: And my point is that the right time to get this done is now.

JANNINE: Yeah.

DR. GAPIN: And my brother-in-law, John, who I mentioned, he would always say to me before he passed

away and it’s eerie and I get chills when I repeat this.

He would always say to me, Tracy, you don’t get today back.

He was always so positive and full of life and made the best of every day.

You don’t get today back.

And so that’s a reminder for us that we need to really pay attention.

My son’s a golfer.

He’s 11 now.

When he was 6, we were at this tournament.

And amazing golfer started at age 5.

He didn’t get his skills from me because I’m terrible.

But he’s on this par 5.

And his second shot, there was water in front of the hole like a lake.

And so I told him to lay up and go for the green in your third shot.

And my six year old out of nowhere says, “Dad, I didn’t come here to lay up.”

And I’m his caddy and he pulls out his three wood and he crushes it over the water, lands

on the green and two puts for birdie.

And I’m like, “Holy shit, look what he just did.”

And he has a winning that tournament in Tampa by one stroke.

And so like the metaphor that I bring to anyone listening here is you didn’t come here to

lay up.

And so quit playing it safe, quit waiting until it’s too late and do the testing that you

need to do, find your blind spots and get them fixed.

It comes down to that.

JANNINE: Well said, well said.

I think for a lot of people, you know, we hear the term peak performance.

We think we have to be athletes, but like you just said, I mean, this is peak

peak performance for whatever you want to do, what you’re why.

DR. GAPIN: That’s right.

That’s right.

JANNINE: So important.

I love it.

DR. GAPIN: Yeah.

People people have this misconception that, oh, that’s not for me.

That’s for the athlete.

JANNINE: Yes.

DR. GAPIN: But no, we’re talking about everyone listen to this,

whether you’re running a small business,

whether you’re a father, a mother, a husband, a wife,

a PTO leader, a room mom, a football team coach,

whatever you’re doing, a nurse in the ER,

how can you operate a peak performance

so that you can really be the best version of yourself?

And that’s, to me, the definition of peak performance.

JANNINE: Yeah, yeah.

Well, well, well said.

I think a lot of people are still a little bit brainwashed

from the conventional medical system

of we don’t get any help until we have problems.

And I know finances for a lot of people are an issue.

And I know one of the things people say,

when they come to me,

“Ah, you functional medicine docs,

you’re gonna run every test under the sun.”

And then I, you know,

I would love to hear how you address when folks are like,

Well, what do I really need tested?

How do we really evaluate things and, you know,

get the most blind spots, you know, revealed?

DR. GAPIN: Yeah, that’s a great question.

And I think that, you know, some people are skeptical

because there are some, honestly, snake-able salesman out there

who are just selling a bunch of tests and they’re predators.

I honestly believe they’re online predators

who are selling you a bunch of tests

that are gonna show some results

to now tell you why you need to buy a bunch of supplements.

And that’s really the problem out there.

And so I think you need to be working with an expert,

a professional like you, a professional like me

and my team at Gapin Institute,

work with someone who is an expert in the field,

someone who can look at the big picture

and understand that each of these components have an effect.

So like for example, I’ll bring up one test,

the microbiome test and the gut health testing that we do.

Well, why do I need that test?

People say, well, why does it matter?

I don’t have any gut symptoms, I feel fine.

I have daily bowel movement, I don’t have any cramping,

I eat fine, no issue, you know.

But did you know that your gut controls your energy?

It controls your metabolism, your ability to burn fat,

build muscle.

It controls your sleep, it controls your neurotransmitters.

So your mood, your focus, your concentration.

It controls your hormone production,

it controls your immune system,

it controls almost everything.

But yet, traditional medicine doesn’t want to even look at it.

I have a very dear friend of mine,

He’s a gastroenterologist, a GI doc.

He looks in people’s butts all day.

And we’re at July 4th party.

And I was talking about this testing that we do

and he had no idea.

He’s like, that’s fascinating.

I had no idea.

He’s a GI doc.

And he has no idea.

This is what’s wrong with traditional healthcare is

we become very siloed.

And I as a urologist for many years,

I was siloed on treating and large prostate

and treating prostate cancer

and treating urinary infections and kidney stones.

and you name it and you become very silent

as to just treat that problem and that’s it.

And I think that we need to take

a holistic, comprehensive systems approach, we call it,

where you understand that everything is connected.

It’s not a thread, it’s a web.

It all connects together.

And when you make that realization,

you understand why the testing we’re talking about

is so important.

JANNINE: Yeah, so true, so true.

Well, how about you walk us through what a visit

to the Gapin institutes like?

Someone comes in the door, they’re like, “Hey, scan it all.

Do it all. I need to know all my blinds.”

Like give us this, but it’s like,

because I think for a lot of people at this point in life,

no matter who wear they’re listening to this podcast,

medical tourism is a thing.

And if they’re not directly in Florida,

I have a lot of people that will come down.

And plus you said you also do tell us how.

So tell us how to– 

DR. GAPIN: We do, yeah.

Yeah, thank you.

Thank you.

So we have virtual options as well.

So someone’s in Washington state, Idaho, Missouri, Montana,

we’ve done it all where we can do a lot of the stuff we do virtually.

Okay. But our flagship offering is a launch day and peak launch.

So launch day is this amazing high level modern day executive exam,

unlike any other is the best way I can describe it.

It’s a badass day where we close the entire clinic for just you.

So the only person in the clinic this day is literally you and the entire team is

focused on you. We put you in hotel, we feed you breakfast and lunch.

We have car service for you.

So we like take care of every little detail from the moment you arrive in Sarasota.

We do every freaking test you can imagine every blood test, every functional

test, every fitness test, every imaging test.

Uh, you meet with my, uh, coaches, all my coaches have to be certified through

FDN, which is functional diagnostic nutrition.

So they’re certified in looking at all the functional testing and giving real

meal planning and nutrition recommendations and guidance and support fitness

training, you meet with my medical team and we put a

concierge wrapping on all of it.

We show you how to use the wearable technology that we keep

talking about and you know, how do you integrate that into what

you’re doing? And we make it easy.

And I think a lot of people get overwhelmed by all of this stuff.

And and I’ve heard that that comment for years now that it just

seems overwhelming.

And so what we do is we make an easy button, you literally just

show up and we do it all for you.

And then at the end of that, you get this amazing deliverable,

binder that has all of your results and those 80 pages of results will give you, but we’re

going to summarize it on the first two pages of these are your main issues. These are the

findings. These are the issues that you need to address moving forward. Then if you’d like to work

with us, we then have peak launch, which is a year-long program that we actually address,

all of the stuff that we just found. And that’s with lifestyle first. I want to be really clear

that you and I agree, I know, and the fact that lifestyle is where it’s all at, it’s nutrition,

It’s sleep, it’s fitness, it’s mindset, it’s stress.

Then we look at targeted supplementation and fixing hormones.

And what amazing cool, fun peptides can we add on top.

And then on top of that, you may have some ancillary stuff like people

ask about cryo and red light and sauna and PEMF and hyperbaric.

And those are great treatments.

But those like peptides are the icing on the cake.

And we have a lot of foundational work that we want to do first before we get to

the kind of the fun, sexy, glamorous stuff like that.

But putting it all together that I think is really important and taking a team approach

is how we get results.

And I got to tell you, I look back to when I was in my medical career in urology and it

was just you and a doctor.

And I had six minutes with you per visit.

I got to get everything done in six minutes because I got to move on to the next patient.

I had 50 patients a day to see.

So I didn’t have time to spend with you.

Now every visit is like an hour.

And people need, the phrase concierge, it should just be standard of course.

care. It should just be, we treat you until we’re done. However long that may take. And

that’s really where people are trying to wake up and demand that. And so that’s part of

what we do.

JANNINE: I can’t tell you how hard it is to see someone so fast. Like I have to be, at least from

a first time, I have to be at least an hour. I can’t even get to the, I’m like scratching

the surface in six minutes. I could not imagine.

DR. GAPIN: Yeah. And that’s traditional healthcare where you’re, and maybe the, you know, a new patient,

you might have 15 minutes. But otherwise, traditional healthcare is all about find that diagnosis

code, get the charting done, get the drugs prescribed and you’re out of here. And it’s sad,

but it’s true. I was a part of it. I lived that for almost 25 years. And I saw firsthand how broken

it is. And it’s embarrassing. And that’s why we have the chronic disease issue, why we have the

the obesity issue, why the, you know, systemic inflammation, why we’re dealing with the problems

that we have today.

JANNINE: Absolutely.

Absolutely.

Well said, well said.

Well, I’m certainly glad that you are around and you came over to the light side

of medicine and then you got the Gapin Institute for folks and wow, sounds like

such a fun VIP day.

DR. GAPIN: Thank you.

JANNINE: I love it.

Everyone sounds like they’re rockstar with their, they got the car.

You pick them up.

DR. GAPIN: Yeah.

JANNINE: Wow.

All righty.

Well, the best way to contact you guys, give us the

scoop, how can they find you like Instagram? 

DR. GAPIN: Sure. Yeah. So

websites gapping Institute dot com that’s G A P I N Institute

dot com. And if you go to gapping Institute dot com forward

slash launch, that page, we have a bunch of free gifts for the

listeners. We have a copy of my TED talk. We have a copy of my

best-selling book mail 2.0. We have my peptide guide, my

high performance held handbook. I have a masterclass. All is

this this freebie content really to give the listener. And

then if anyone wants to reach out to the team to learn more

then there’s a link on there as well.

JANNINE: Awesome. I’m so glad you’re doing peptides.

I love peptides.

We could do a whole podcast probably chatting on those things.

DR. GAPIN: It’s fun, right?

Yeah.

JANNINE: Oh, man.

Man, best kept secret, best kept secret.

But like you said, icing on the cake, folks.

DR. GAPIN: That’s right.

JANNINE: Not the first go to, for sure.

DR. GAPIN: That’s right.

JANNINE: Oh man, good stuff.

Well, thank you so much, Dr Tracy, for coming on.

I learned a lot and I just,

I’m so glad you’re doing what you’re doing.

DR. GAPIN: Thanks so much.

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