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- "Just Move" Is The Starting Line, Not The Destination
"Just Move" Is The Starting Line, Not The Destination
Issue #13 · Read Time: 5 minutes
Piecing Together the Signals That Matter

While you're busy defending your identity as a "cardio person" or "strength person," your mitochondria are either multiplying or diminishing. Your muscle fibers are strengthening or atrophying. Your vascular system is maintaining elasticity or stiffening.
These biological realities don't care which gym identity you've chosen or which tribe you've pledged allegiance to. They only register what capacities you've built, and what you've dangerously neglected.
Your Body’s Hidden Ledger
I watch the same ritual unfold every January: the fitness landscape divided into tribal territories.
Marathon runners clock endless miles while strength devotees stack more plates. Each camp proudly signals their chosen identity through specialized gear, insider lingo, and curated social media narratives that reinforce their fitness worldview.
And each tribe is certain they've found the right approach to ‘exercise’ while their bodies tally the deficits that will come due decades later. ⏳
The problem isn't these tribal affiliations. It's the dangerous assumption that picking one path is enough. 🚫
Both tribes believe they're doing what's necessary for health because they're “exercising” consistently and seriously, more than most people.
That marathoner with the enviable VO2max? Her body doesn't keep a trophy case for her Boston Marathon qualifier time. Instead, it silently records the steady erosion of muscle mass, strength, and bone density, year after year. This deficit comes due when she can't rise from a fall at 62—her marathon medals suddenly worthless currency. 🦴 ⚠️
That powerlifter with the impressive deadlift? His body ignores his one-rep max while silently recording his neglected cardiovascular system. Unused mitochondria wither. His heart, falters. Blood vessels stiffen rather than branch and flourish. 📉
For decades, "just move" has been our lazy mantra—the medical equivalent of telling someone lost in the wilderness to "head somewhere north." I've written these prescriptions myself, watching patients nod while both knowing it's woefully inadequate.
General movement keeps you alive. Precision determines how well you'll live.
Over the last few issues, we've explored the key physiological markers that predict longevity: VO2max, zone 2 training, metabolic efficiency, and muscle mass. Now it's time to connect these dots and expose the cardio-versus-strength debate for what it truly is: a dangerous delusion that leaves most people with half-built biological insurance policies. 🚨
Composing Tomorrow’s Blueprint
🫁 VO2max: Nature’s Polygraph Test [Issue 8]
VO2max isn't just another fitness metric. It is the maximum (max) rate (V) of oxygen (O₂) your body is able to use during intense physical activity.
A landmark study following 750,000 individuals revealed something striking: a low VO2 max (bottom 20%) is four times deadlier than being in the top 2%.1
Your VO2max serves as irrefutable evidence that your entire system has adapted to physical challenges. The same training that builds oxygen capacity rewires your metabolism, strengthens your vascular system, and floods your brain with protective factors.
The good news? Just moving from "poor" to "below average," something most can achieve in months, cuts that risk in half.
Improving VO2max requires two distinct types of training: Zone 2 cardio and high-intensity intervals. Each plays a crucial role in building your cardiovascular capacity.
🏃🏽♂️➡️ Zone 2 Training: The Unsexy Engine Rebuild [Issue #10]
Zone 2 is a specific effort level where you can still talk but would prefer not to (or if measuring, about 60-75% of your maximum heart rate).
No one posts Zone 2 training on Instagram. There's nothing glamorous about it. No dramatic faces contorted in agony. No impressive weights stacked high. No speed records shattered.
Yet beneath that deceptive gentleness, a metabolic revolution silently unfolds:
Your mitochondria begin multiplying rapidly like they’re preparing for an energy crisis. 🔋
Your metabolism rewires itself to better access and utilize fat stores for energy. ⚡
Your circulatory system sprouts new capillaries, creating an expanded network of highways that deliver oxygen and nutrients to your tissues. 📈
These adaptations don't announce themselves with endorphin rushes or immediate visible results. It may not be seen on your socials, but inside where it matters, you just turned an empty warehouse into a power plant.
❤️🔥 High-Intensity Intervals: Where Strategic Suffering Pays Dividends [Issue # 11]
Those Norwegian-inspired intervals aren't just sadistic fitness fashion. They represent strategic suffering with a precise formula: four minutes at lung-searing intensity, followed by four minutes of recovery, repeated four times.
This specific protocol triggers profound physiological changes:
Your heart remodels itself to push more blood with each contraction. ❤️
Your vascular system — all 60,000 miles of it — receives a comprehensive stress test that maintains their flexibility, preventing the stiffness that precedes hypertension, heart disease, and stroke. 🎯
Your muscles develop the metabolic machinery to push through when your body screams to stop. ✊🏽
These intervals cause your your legs to scream with heaviness and burn. Your brain frantically generates reasons to stop. But, without this specific stimulus, even dedicated Zone 2 training won't fully develop your cardiovascular capacity.
💪🏽 Muscle: the Insurance Policy Most People Skip [Issue #2]
Muscle isn't just mechanical tissue that moves your skeleton. It's a sophisticated organ broadcasting chemical signals throughout your body.
Every time you challenge your muscles, they release myokines—hormone-like messenger molecules that trigger cascading benefits throughout your entire system.
Muscle is life.
Studies show that low muscle mass increases your risk of early death by 60-67%. This is why preserving and building muscle throughout your life isn’t just about aesthetics or athletic performance—it’s about survival.. After the age of 30, your body sheds 3-5% of muscle mass every decade unless you fight this biological current.
The good news?
Unlike many aspects of aging, this isn't a battle we're destined to lose. Even 90-year-olds have demonstrated the ability to build muscle and strength with the right approach.
Your Integrated Playbook
Every training session is a biological negotiation, not with today's mirror, but with your body's future operating system.
1. Build Your Metabolic Engine: Zone 2 Training 💓
The method: 45-60 minutes at a constant pace where you can hold a conversation, but would prefer not to. This isn't about pushing limits. It's about duration at the right effort level. [Issue #10]
Consistency is key: Start with twice weekly, building to 3-4 sessions for optimal benefits. Queue up podcasts or Netflix episodes—your brain might need entertainment while your mitochondria do the real work.
The effort gauge: If you can sing, go faster; if you're gasping, dial it back. Your sweet spot is where complete sentences are possible but annoying.
Pick the right activity: Start where you are. Many need brisk (or incline) walking before advancing to slow jogging or cycling. The activity matters less than the effort level.
2. Raise Your Ceiling: Norwegian Intervals 🔥
The method: 4 minutes hard (90-95% max heart rate) → 4 minutes recovery → Repeat 4×. This isn't just another HIIT protocol. It's calibrated to improve VO2 max. [Issue # 11]
The intensity check: By minute 3, if you're not mentally drafting strongly worded complaints to whoever suggested this torture, you're not pushing hard enough. Your internal monologue should be a negotiation between the part of you that wants to stop and the part that refuses to quit.
The dosage: Just once weekly is enough (twice maximum)—these sessions demand respect and recovery time.
3. Your Insurance Policy: Strength & Muscle Mass 🏋🏽♂️
The minimum: Two strength sessions weekly. This is your non-negotiable baseline, not a suggestion. [Issue #2]
The movements: Prioritize compound exercises that train movement patterns, not isolated muscles. Squats, deadlifts, pushups, rows, and carries give you the most return on investment. Your body evolved to move this way—honor that design.
The progression: Challenge is everything. Your muscles don't recognize weight. They only register tension and time. Whether it's adding weight, increasing reps, or slowing tempo, progression is essential. [Issue #1]
"Just move" is essential—it's where health begins. But longevity demands precision. Every biological system has specific requirements that random movement alone won't fulfill.
Let science, not preference, guide your training evolution.
The biological imperative isn't found in choosing sides. It's found in refusing to choose.
Last week we explored what actually happens in that strange gap between intention and action, and why it reveals something far more primal than motivation.
Read it here: When Your Mind Becomes Fluent in Self-Betrayal.
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P.S. I spent 7 hours writing this, but it takes only 5 seconds for you to share! Make someone’s day (and mine too). 😉 It could be the healthiest thing you do today. 🌟
How’s Your Pulse on This Edition? |
I'm a Toronto doctor caring for older adults in hospitals and nursing homes, while spending my spare time digging into longevity science. I'm here to share what I'm learning. No fancy jargon, just practical insights to help you read your body’s early signals. Think of me as your friendly guide, figuring this out alongside you. Medicine has changed, but how we practice it hasn't caught up. That's why I'm here: to help you edit your health story while the early drafts are still open.
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