¡Esto nos está MATANDO, cómo podemos arreglarlo! | Casey Means y Lewis Howes
What this video covers
This is the Spanish-dubbed version of Dr. Casey Means’s 2022 interview on The School of Greatness with Lewis Howes (Episode 1252, “The Key Signs You’re Not Healthy & How To Fix It”) — one of her earliest long-form appearances, recorded when she was chief medical officer and co-founder of Levels. The 89-minute conversation lays out the core thesis she would later carry into Good Energy and the MAHA movement.
Means argues that metabolic health is the “elephant in the room” of American healthcare: the vast majority of what kills Americans, she says, traces to lifetime dietary and lifestyle choices, which means people have far more agency over their fate than the system suggests. Her headline claim in the interview is striking: nine of the ten leading causes of death in the United States, she says, are either caused by dysfunctional blood sugar or worsened by elevated blood sugar. The conversation covers metabolic flexibility, how the mind influences metabolism, and practical steps for optimizing metabolic health.
Key points
- Means claims nine of the ten leading causes of US death are caused by or worsened by dysfunctional blood sugar — her central quantitative claim in the interview.
- She argues most lethal diseases trace to lifetime dietary and lifestyle choices, giving individuals major agency over outcomes.
- She frames metabolic dysfunction as the “elephant in the room” that modern American healthcare is missing.
- She walks through the ten, including Alzheimer’s (now called “type 3 diabetes” because of its blood-sugar link), heart disease, type 2 diabetes, cancer, and chronic kidney disease; she adds that elevated blood sugar raises mortality from lower respiratory infections and COVID, and notes people with diabetes or metabolic dysfunction have a higher risk of suicide, which is also in the top ten.
- She discusses metabolic flexibility and practical tactics for improving it.
- She explores how the mind and mental states influence metabolism.
- Note: this is the Spanish-dubbed edition of the original 2022 English interview; substance per the original episode.