HuMed with David Spiro, MD

Muscle is Medicine

July 21, 2026·41 min
Episode Description from the Publisher

What if one of the most important tools for healthy aging isn’t another pill—but preserving your strength?Dr. David Spiro welcomes back Dr. Heather Hinshelwood, an emergency medicine physician whose work has expanded from treating acute medical crises to helping patients improve their long-term health and independence.Dr. Hinshelwood explains why maintaining muscle becomes increasingly important as we age. Together, they discuss strength training, cardiovascular exercise, Pilates, metabolic health, bone density, type 2 diabetes, and the challenge of creating sustainable lifestyle change without shaming patients.They also explore:• Why muscle supports mobility and independence• The relationship between strength and metabolic health• How resistance training may support healthier aging• Why cardio and flexibility still matter• How older adults can begin exercising safely• The value of knowledgeable coaching• Why it is never too late to improve your healthThis conversation isn’t about becoming an elite athlete. It’s about preserving the ability to carry groceries, rise from the floor, pursue the activities you enjoy, and remain independent for as long as possible.What do you want to remain capable of doing at age 80?HuMed with David Spiro, MD explores the human side of medicine through candid conversations with physicians, patients, and healthcare leaders.This episode is intended for education only and does not replace individualized medical advice. The discussion includes the speakers’ perspectives on exercise, metabolic health, and medications. Consult a qualified healthcare professional before changing medications or beginning a new exercise program.

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