In this episode, I sit down with Dr. Alexandra Gajer, a board certified physician who made a courageous shift from emergency medicine to the world of performance health optimization. Dr. Gajer shared how she reached a point of burnout even though she loved her work in the ER. Her story highlights a powerful truth that many high performers overlook. Loving your career does not make you immune to burnout. She explained why self care cannot be something we practice only during off hours, and how traditional medicine often focuses more on disease than on sustaining long term vitality. I emphasized how essential her work is, especially for leaders and professionals who want to feel energized and capable for decades rather than reacting to health problems after they arise.

Dr. Gajer broke down a shift she sees in her clients. Success is no longer just about titles or income. True success requires a strong foundation of health. She explained how metabolic health plays a central role in energy, performance, and longevity. Small changes in how the body uses food for fuel can create massive improvements. She also covered the importance of hormone health and how people at any age can regain optimal energy levels. Dr. Gajer described clients in their 70s, 80s, and even 90s who continue thriving because they invested early in their health and maintained consistent habits.

We explored why leaders over 45 must be proactive about both cognitive and physical health. Many people hit their 40s with more wisdom, capability, and clarity than ever, yet their bodies begin sending subtle warning signs. Dr. Gajer explained how burnout symptoms often show up quietly for people in demanding professions like healthcare, leadership, and entrepreneurship. We talked about why mindfulness, nutrition, movement, and regular health assessments are essential investments for long term functionality and longevity.

I shared my own experience with food intolerance testing and how it changed the way I look at nutrition. Discovering that I have a potato allergy, despite my Irish roots, and an intolerance to eggs, despite the egg in my brand logo, created some irony and a lot of self reflection. I talked about how foods interact with one another much like medications do, and why paying attention to how your body responds can be a game changer for overall well being.

Dr. Gajer discussed the sharp decline in testosterone levels among men and why diet is a major contributor. She emphasized the importance of whole foods over processed products that are engineered to be addictive. Whole foods help regulate appetite, stabilize weight, and support hormone balance. She also highlighted the link between processed foods, inflammation, and cognitive decline. The message was clear. Your diet is creating either long term strength or long term struggle.

We explored the consequences of poor dietary habits, including the rising rates of type 3 diabetes, Alzheimer's, and dementia. I shared why I believe medications like Ozempic are often used as a Band Aid for lifestyle choices rather than addressing root causes. We discussed how healthy food choices combined with regular movement help people maintain clarity, emotional stability, and resilience. When you take care of your body, you are better equipped to handle every other area of life.

Dr. Gajer emphasized that small health habits create major shifts. He noted that it is never too late to start making positive changes. We discussed the importance of consuming adequate protein, supporting gut microbiome health, and using daily rituals to reduce stress. I reinforced that when you strengthen your health, your performance improves in your relationships, your leadership, and your decision making.

Dr. Gajer shared an overview of her health optimization practice, which supports clients nationwide. Listeners can book a free intro call through her website theguyerPractice.com. With my background in primary care administration, I deeply appreciate how vital her work is for healthcare professionals and high performers striving to stay healthy while maintaining demanding careers. Her contact information is included for anyone ready to take the next step toward long term health and vitality.