Howard Luks MD
@hjluks
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Orthopedic Surgeon, author, trail runner, very amateur cyclist. Exits x 3. CMO: Masterlete https://t.co/5Ed5XQBV3M
New York, USA
Joined June 2008
Three decades as a surgeon teach you a lot—most of it now has nothing to do with surgery. You come to understand just how fragile the human body can be—and how remarkably resilient it is when given the chance. You see how often people wait, hoping things will get better on
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Does anyone have solid experience building a conversational AI agent?
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Get comfortable being uncomfortable. Full article link below...
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Your morning HRV is far more relevant than your overnight HRV. Hard efforts late in the day, a glass of wine, late dinner, etc can crush your overnight HRV. It might affect your morning HRV, too. It definitely hits mine. But the interpretation in the AM and the subjective way
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Muscle is not just a mechanically contractile tissue; it is a significant determinant of human trajectory. Your muscles are not decoration, they’re engines. If you ignore them, they’ll betray you.
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"Hey Doc — I'm feeling better!!" Me: That’s great. What changed? Patient: Well… I stopped lifting my arm overhead, I quit doing pull-ups, and I moved the glasses to the lower shelf. And there it is. Unless you ask how someone got better, you’ll never know if they improved
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Your muscles are not decoration, they’re engines. You're not metabolically fit if they're not working well. If you ignore them, they’ll betray you. Move with purpose. Train to react. Train to dominate your everyday. Comfort is killing your power. Excuses are stealing your
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When people go for long walks, they don’t check their watches or stress about performance. They just walk. That’s the mindset easy running should have. Keep the effort close to walking intensity, especially when you’re starting out. Your pace doesn’t matter. Walking as part of
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The secret isn’t flawless living. It’s deliberate living day after day Choice after choice Especially when no one is watching
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Certain things need to be repeated over and over... Example. Two cases this week: A female runner with groin pain has a femoral neck stress fracture until you prove otherwise... not a hip flexor strain, or whatever else you make up. Ask them to hop on one leg. If they
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Real time injury prevention lesson… RPE- rate of perceived exertion. Listen to it. It’s the most important signal. This morning felt unusually hard. Fitst data point Next data point Know your numbers. I can normally push ~175-200W with a HR under 130. This morning it was
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Solid podcast... How would you explain to your younger self how to build a lasting, meaningful career in healthcare? I think we hit the key ways.... It's 12 minutes ;-). Listen. Even some healthcare coaches appreciated the insights here... Link in reply
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Among the many effects of lactate in metabolism, Lactate has important endocrine and autocrine roles in fat metabolism Endocrine: Lactate leaves the muscle and acts as a hormone. It reaches adipose tissue, binds to the GPR81 receptor, and tells fat cells to slow lipolysis. This
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Solid advice
I learned pull-ups without ever using a resistance band. Let me tell you exactly how I did it, no BS, just what actually works 🧵
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Our latest Three Boneheads podcast… What we would tell our 25 year old selves about building a sustainable career as a surgeon. Lots of lessons here for those in healthcare. Link 👇👇👇
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