In this episode of the Flex Diet Podcast, I sit down with Dr. Masha Makeeva, a physician specializing in integrative and regenerative medicine, to get a clear, practical breakdown of hyperbaric oxygen therapy. We talk about why HBOT’s biggest benefit may be reducing inflammation, who it can help most, and how to think about protocols — pressure, oxygen concentration, session length, frequency, and total number of sessions —so you’re not comparing totally different approaches. We also dig into where she sees HBOT used most (including cancer support and professional sports), why solid tumors may respond differently than blood cancers, and how HBOT can support recovery and quality of life during treatment. We cover safety, home chamber considerations, and how mitochondrial and metabolic health, HRV, and downregulation all fit into better outcomes. Sponsors: Daily Fitness Insider Newsletter: https://flex-diet.kit.com/bfa1510fa8
In this episode of the Flex Diet Podcast, I sit down with Dr. Masha Makeeva, a physician specializing in integrative and regenerative medicine, to get a clear, practical breakdown of hyperbaric oxygen therapy. We talk about why HBOT’s biggest benefit may be reducing inflammation, who it can help most, and how to think about protocols — pressure, oxygen concentration, session length, frequency, and total number of sessions —so you’re not comparing totally different approaches.
We also dig into where she sees HBOT used most (including cancer support and professional sports), why solid tumors may respond differently than blood cancers, and how HBOT can support recovery and quality of life during treatment. We cover safety, home chamber considerations, and how mitochondrial and metabolic health, HRV, and downregulation all fit into better outcomes.
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Speaker: [00:00:00] Welcome back to the Flex Diet Podcast. I'm your host, Dr. Mike T. Nelson. On this podcast, we talk about all things too. Increase muscle mass performance, and improve body composition, and do all of it without destroying your health within a flexible framework. Today we've got Dr. Masha McKay. She is a physician specializing in integrative and regenerative medicine, focusing primarily on hyperbaric oxygen therapy, or commonly known as HOT, along with other advanced recovery strategies.
She initially did her conventional medicine training and then expanded into areas such as cellular health, mitochondrial function, tissue regeneration, and many other things. Uh, what I really liked about this conversation was we got down to [00:01:00] how hyperbarics might be beneficial for people. Um, what cases you would want to use it in, uh, what are the different parameters, what are some of the pros and some of the cons things to watch out for.
And then we also had a really good discussion about just. General metabolic health, uh, especially on the mitochondrial level and a bunch of other things. So I think even if you don't have a hyperbaric chamber or you're not currently using hyperbaric, I do think you'll still get a lot, uh, out of this podcast.
And yeah, it was just really fun to chat with her about this topic. And if you want more information from her, we'll put all of her information and content down below, which I'd highly recommend you check out. And if you want more stuff from me and you want to get onto the Daily Fitness Insider Newsletter where 90% of my content goes out to, we'll have a link to that down below [00:02:00] that's free to join, and similar content to what you find in this podcast here.
So, uh, without further ado, enjoy this conversation about the use of hyperbaric oxygen therapy.
Dr Mike T Nelson: Welcome to the podcast. How are you today?
Dr. Masha Makeeva: I'm pretty good. Thank you. What about you?
Dr Mike T Nelson: Doing good. Doing good. Um, wanted to talk to you today about hyperbaric therapy, which is becoming, I would say, a little more popular now. I mean, obviously it's been around for quite some time.
Um, what is the main reason you use hyperbaric? Like if somebody came to you and said, what do you think is like the top benefit to hyperbaric? What would you say if you had to kinda narrow it down and pick one? And obviously there's, there's many different things within that.
Dr. Masha Makeeva: I love that question because it always comes down to [00:03:00] that one thing, right?
Dr Mike T Nelson: Yeah. 'cause that's what people wanna know. They're like, oh, was it good for this? Is it good for that?
Dr. Masha Makeeva: While hyperbaric therapy can be good for a lot of things because it floods your system with oxygen and we all need oxygen to perform our daily functions, right without oxygen will be dead in about three minutes.
I think its main benefit is decreased in inflammation because when you look across the board, whether it's a chronic disease or just I wanna feel better or I wanna look better, it's the inflammation that's the main, um, curl pit to not feeling better, not looking better or not recovering from chronic disease.
So it's the best tool to decrease that inflammation.
Dr Mike T Nelson: Amazing. I've even struggled with this very simplistic question. How would you explain inflammation to somebody? I know that sounds like on its face [00:04:00] value, a very simple question, but that's one I. Struggled with to give a good explanation
Dr. Masha Makeeva: and, and it's true because how do you explain probably the most complex yet the most abundant process, right.
That's happening in our bodies. I would say if you feel that something's off, most likely it's the inflammation now. Mm. Whatever is causing that inflammation. Those could be various things from, I ran a marathon, so my muscles are inflamed, or I have an autoimmune condition, so inflammation is part of my daily living.
Or I didn't sleep well last night, so maybe my brain or my nervous system is inflamed somewhat. But what sort of unites all the situations I feel off, I wanna feel better again, I wanna feel normal. I want to feel [00:05:00] myself what I felt maybe a day ago, maybe years ago, and it's the inflammation that's sort of making me feel lousy and not myself, not well, and wanting to maybe fix something.
Awesome. Now it's a physiological process. That's just an easy way of explaining it.
Dr Mike T Nelson: Yeah.
Dr. Masha Makeeva: Now it has a little downside because not everyone is, um, sort of in that great connection with their body. When they feel right away that something's off. Same when people start doing hyperbaric therapy. Some will say, oh, I feel amazing after the first session.
And others would say after 20 sessions, I don't feel anything. It's not that hyperbaric is not working for them, and it's working for that first person who felt better right away. It's just some people are more sensitive naturally. Some people develop that sensitivity through suffering through a chronic disease when sort of it's a survival [00:06:00] mechanism to understand when things are off.
So if you don't feel that things are off it doesn't necessarily mean that there's no inflammation. Pain is inflammation. Um, mental issues, mood swings is inflammation, inability to regulate blood sugar creates inflammation so people get cravings at that feeling of feeling hangry. So actually everything is inflammation.
When, whenever something's off, and let's be honest, something's off always for most people, right? We're designed that way. It's impossible to feel great and be that perfect human being that some people are trying to sort of portray on social media. So inflammation is always there and hyperbaric is also always there as a tool to decrease that so people can start feeling better, whether it's pain that's caused [00:07:00] by inflammation.
We'll see the reduction in pain, whether it's mental health issues that are caused by inflammation in the nervous system and in the brain. We'll see the reduction in that and for other symptoms as well. So it's a very universal tool that can help almost anyone, unless they fall into a small group of people who have contraindications.
Then hyperbaric therapy will bring the relief and will bring improvement in the symptoms.
Dr Mike T Nelson: Very cool. Excuse me. Do you use, what do you think about using blood markers or blood work like before or after? 'cause some people may say, and I agree with your sensitivity thing, some people are more. Sensitive other people are not.
And again, I don't think the goal is to make everyone hypersensitive. You may be pushing people to chronic pain, things like that. So that that's not really necessarily the direction you want to go. A buddy of mine said you, you want to be sensitive enough to act like you [00:08:00] don't want a ton of sensation.
You probably don't want any, because you can look at the studies of people who have a condition where they don't feel pain. I think all of them are dead by like their late thirties or something. They just are constantly damaging themselves because they don't have that feedback loop. Would doing some type of blood markers be also useful to see what's going on, like a high sensitivity CRP or is that just kind of not quite close enough to what you're actually looking at?
Dr. Masha Makeeva: It is a great question because when, um, high sensitivity CRP is up, then we already dealing with the problem,
Dr Mike T Nelson: right?
Dr. Masha Makeeva: So we can sort of, I always like come from an, um, I'm a naturopathic doctor, so I always like to catch the problem, you know, before it becomes the problem. So things like interleukin six for example, or erythrocytes mentation rate, which are also bio biomarkers for [00:09:00] inflammation.
That's when the problem is there, and we can certainly measure those, but it comes down to. So people have sort of limit to how much money they can spend. Sure. Do we wanna allocate that money to testing or we want to allocate that money to, um, getting people better? This is a big question when it comes to biomarkers, actually, what I would look at is something that you are an expert in is HRV.
Dr Mike T Nelson: Mm-hmm.
Dr. Masha Makeeva: The breath rate you know, body temperature. So those metrics that are sort of free because they're available by a wearable device and see how inflammation. To hyperbaric therapy or any other intervention that I'm planning for that particular person. If we are dealing with a diagnosis, then yes, because we want to see how those markers change in a [00:10:00] response to the therapy that we're doing.
And then I'll probably do the interleukin panel. Definitely I look at ferritin when it's high. It's a, it's a really good marker for inflammation. I will look at the albumin and other pro proteins and things like that. I don't like to go too fancy into testing because I think you can catch a lot of things from regular testing like ferritin and, and ARI sedimentation rate or C RRP and things like that.
I don't know. What do you think? What, what kind of testing do you use? Do you go like, fancy, um, let's test everything under the sun or.
Dr Mike T Nelson: Yeah, it, I guess I've kind of gone all over the spectrum, like I've used, I agree. I use heart rate variability. Those markers you can get daily, you can see what your response is to them.
You can see the podcast I did with you on that. We'll link to that. Um, in the past, [00:11:00] I would say probably maybe 12 years ago, I, I thought that if you got more fancy on testing, it would provide you all the answers. And the short answer to that is I was kind of sorely disappointed and I, I spent way too much money.
And when you looked into some of the, you know, the reliability, repeatability, sensitivity, specificity, all this stuff of some of these brand new testing and like, Hey, how did you get, where'd your reference range come from? You know, a lot of times it, they weren't really that robust. And it was some stuff from Brian Walsh Dan Gardner, my buddy, Michael Ruscio, and some other people that I realized, oh my gosh, like on a.
Just the plain, you know, C, b, C with differential, CMP, like some really basic stuff. Like if you really try to understand where those tests come from, how are they done, there's millions of data points on 'em, you can actually extract a fair amount of pretty good info. Just like you said with, you know, ferritin and high sensitive CRP with [00:12:00] some really basic tests, which I think are overlooked by a lot of practitioners.
Um, even the, the, you know, CBC with differential, a lot of times the, with differential parts not even done. Like the test is what, like $35 or something? It's, it's dirt cheap, but most physicians are not necessarily trained to look at it, or they were, and they don't really use it as much. And my pet peeve with the, not against you, but the functional med spaces, and I think it's getting better, is it used to be, you know, if you come in it's five to 10 grand of testing.
We're gonna test everything under the sun. That might be okay. Like if I'm working with a high level athlete who tells me, I don't really care that much about money, but if you make me go back to that darn testing center again, I'm gonna be pissed at you. Okay. I'm probably gonna air and and collect more stuff.
I might not need just to save them time, because time is more important to them than money. But if a vast majority of people, a lot of the fancier tests were, I'd say, not as [00:13:00] valid, expensive. And then if you, as you know, if you just test that many things, you're gonna find more stuff wrong. And now you have to explain to the person of, you know what, this is what's going on.
Some people are very hypersensitive to, you know, you tested 300 things and four of 'em are a little bit off and they're like, oh my God, this guy is falling. It's like, nah, just big picture. You're, you're fine. So yeah, so I agree with that. Just basic stuff when you need it, you get fancy if you have to, and then have some daily markers and things you're looking to see if it's responding.
Dr. Masha Makeeva: I agree. I've had people come in with testing done, and honestly you are looking at hundreds of pages and that Oh, yeah. They, they come
Dr Mike T Nelson: of the stack
Dr. Masha Makeeva: with a stack and, and you, you're just thinking, you know, first of all, they've invested money into that, but also time, because it takes time, yeah. To get tested, to get results.
Now, if you wanna use those tests as a marker [00:14:00] of progress, then they need to retest at the same lab. Yeah. Because testing at a different lab might give a different result, you know, they're using different ways of different ranges. It becomes confusing to the practitioner and it, it's overwhelming to the patient.
So I always think let's use 20 tests across the board that we use on every single person, because that gives us a bit of understanding of what's going on. But then if we suspect mold toxicity, for example. Maybe we'll do some more extensive testing if we suspect Lyme, of course, we need to send it to, um, to a special lab and get that tested, but not for every single person out there, because then we're just, you know, keep doing the testing and, and, and without thinking and connecting the dots, I truly believe that it's the history of a person that gives us the most information [00:15:00] and tests are there to either prove that we're right or prove that we're wrong and we need to dig a little further.
Dr Mike T Nelson: Yeah, I agree. And, and sometimes there's rough screens you can do that are not a hundred percent, but are non-invasive and very cheap. Um, I just got this from my, my functional neurologist, so shout out to Dr. Jeremy Schmo here. I think it's a VCS test where you look at a color contrast on a screen. And if you fail that test, he is like, then we'll send you for, you know, a mold test, which is 3, 4, 500 bucks.
He's like, if you pass it, the odds of you having mold are like extremely low because I guess the mold affects those little color sensitive things in the eyes first. So there's some stuff like that you could do as a, a screening test. If you kind of look, like you said you see the symptoms, you think, ah, maybe this is going on, but maybe you'll do that test for, I think it's like 20 bucks or something before, you know, sending them for a $400 test if they're positive there.
Okay, yeah, let's follow up, let's do kind [00:16:00] of more of the air quote gold standard test, because we probably need it at this point, you know, to rule it in or, or rule it out instead of, you know, running all these fancy tests right away just because you think it might be this, this, or that. So yeah, that was my pet peeve.
So
Dr. Masha Makeeva: yeah, it's definitely on the same page here with you.
Dr Mike T Nelson: Awesome. So back to hyperbaric, like for your clinic, like what is the most common thing people come in for? And then I'll talk about a little bit separating, I'd say normal physiology versus pathology. So the follow up to that question then is, do you see most of this for kind of performance enhancement, like the betterment of just the general population who may not necessarily have a specific disease?
Or are you kind of working on treating more different types of pathologies and diseases and different processes?
Dr. Masha Makeeva: So I have quite a unique specialty. What I do, I [00:17:00] help people put together, whether they're patients or practitioners. I also work with practitioners on their patients' cases to put together a hyperbaric protocol to see what this particular person will benefit the most from.
Because with hyperbaric therapy, protocols vary. First. You can choose different pressure, different number of sessions, different duration of the session, and different concentration of oxygen. So all these variables can be plugged into protocol, and the protocol will be personalized. So I will consult with people online a lot because not all my clients live in Madrid.
I live in Madrid. I'm Canadian. I do live in Spain. It's been 17 years in Spain, but that's another story.
Dr Mike T Nelson: Oh, Spain's beautiful. I love Spain.
Dr. Masha Makeeva: Oh, it's amazing. But most of my clients, my patients are from England. I have patients from Australia, from the us, a lot from Canada [00:18:00] and from other countries. If people speak English, you know, we, we can find the common language.
So when I put together those protocols, they're sort of three types of people who reach out. One cohort is probably the biggest is cancer patients.
Dr Mike T Nelson: Hmm.
Dr. Masha Makeeva: And I work directly with their oncologists always, because we need to, to have that oncologist on board and they need to be aware that the person's doing hyperbaric.
At least that's ideal scenario. A lot of times it's stage four cancer, but many times it's stage one or stage two newly diagnosed. But people start to researching. And hyperbaric, of course, comes up as a supportive therapy a lot. I also work with professional athletes. I think that's where we coincide.
Yeah, exactly. Which is a very different cohort of people, but they also need a lot of support [00:19:00] because I feel that the demands in professional sports, but also in amateur sports, but more so in professional, so the, the demands surpass the ability to recover without technology. It's just, it, it's not possible in today's world, the, the schedule of competitions and trainings and, and whatnot.
Too demanding. And also I see people from all kinds of different you know, parts of world. Somebody will come in because their child has autism or I might see a family because the older member, um, just had a stroke or maybe they had a stroke several years ago and they're looking into different therapies that could help.
So different indications, but I should say two main ones are cancer and professional sports.
Dr Mike T Nelson: Awesome. Is there any type of cancers you [00:20:00] see more often or ones that tend to be better responders to hyperbaric than other types of cancer? Or is it kind of hard to say?
Dr. Masha Makeeva: So solid cancers, solid tumors respond better.
Blood cancers such as leukemia are not necessarily the best candidates for hyperbaric therapy. It's, it could still be used as a supportive therapy when somebody is undergoing chemotherapy. But most studies out there, and also clinical experience and clinical work, show us that hyperbaric is the most useful with solid tumors.
So that could be colorectal cancer, breast cancer, or prostate cancer, lung cancer. Um, there, you know unfortunately we live a time when by 2030, every second person will be diagnosed with cancer in their lifetime.
Dr Mike T Nelson: Oh, that's crazy,
Dr. Masha Makeeva: isn't [00:21:00] it? Yek. Yet it's a chronic disease that can be managed really well in so many instances.
The issue with cancer is that it brings with it a lot of fear and lack of support system and not understanding what to do next. And I think that's the most difficult about cancer diagnosis. So there's gotta be a lot of reforms in in medical care when it comes to cancer, considering that so many people will get the diagnosis eventually in their lifetime.
And also, I truly believe that hyperbaric therapy can play a huge role. Huge role because when we look at what hyperbaric can do for cancer patients, um, it can help prevent radiation injury, but also treat radiation injury. It's actually an approved indication for radiation injury. It's used with many [00:22:00] types of chemotherapy to enhance the effects of chemo and help with quality of life.
It's huge in cancer prevention, um, because it changes the terrain. Hyperbaric therapy acts on mitochondria, right where we produce the energy because that's where most of the oxygen will go. So when it optimizes the health of mitochondria. Then the whole health and the whole body is optimized. So we're working towards cancer prevention.
But of course, every um, case is unique and we approach it from different angles. But as I said, preferably always working with a team of other practitioners who work on the case. It's a supportive therapy, not first line. I'd like people to understand this. Well, if somebody has a cancer diagnosis, please explore all options, not just hyperbaric therapy.
Hyperbarics will help. It will [00:23:00] help to move the needle. It will help a person feel better. It will help them get, I I can give you an example. Yeah. One of my dear friends, um, um, we went to medical school together. She was diagnosed with breast cancer recently, so she her breast cancer is quite aggressive, so her form of chemo was really aggressive to to shrink the tumor so she could go through the surgery.
And out of many patients of that particular oncologist, she was the only one doing hyperbaric therapy. Now she did of course, some other interventions like, um, high dose vitamin C and cold therapy to help her deal with neuropathy and things like that. She didn't lose any hair. She didn't develop developing neuropathy.
She didn't miss one day of work. Or other live demands. She has a little child. So she went [00:24:00] through 12 weeks of really aggressive chemo without almost no side effects of that chemo. And when I talked to her, she always said, she said, Masha, I'm doing so many things, but I can tell you hyperbaric is my favorite.
And I do believe that it's really making a huge difference in how I feel and how your body how her body deals with chemo. So she's awaiting in the surgery. I wish her all the best with that. And she's using Hyperbarics to prepare for the surgery and she'll use it to recover faster from the surgery.
So she's a perfect example and I wish more people had access to this type of therapy.
Dr Mike T Nelson: Oh, that's super interesting. Is the Hyperbarics doing kind of a dual function? It's kind of potentially. Helping with the cancer therapy, but it might also be helping with the, I guess, sort of the side effects of, you [00:25:00] know, chemotherapy, radiation.
Because granted, they've gotten a lot better, my understanding with them, but they're still, you basically using drugs and methods that are trying to not get cells to proliferate and you're gonna have some side effects of hitting healthy cells, kind of a along the way just because of the treatment. Is hyperbaric kind of helping to decrease some of the cost of that kind of overflow to some of the healthier cells because of the treatment?
Dr. Masha Makeeva: I think because it, it does help with energy production, right? And we need a lot of energy to heal. So, um, it's absolutely essential to have a therapy, whether it's hyperbaric therapy or combination of hyperbaric and red. Will pulse the electromagnetic frequencies because all these therapies work on energy production cycle inside the mitochondria.
So what they could do, I mean, you [00:26:00] can, not every, every cancer cell can go back to normal cell. Um, some cases, early stages of cancer may be yes, but here we are dealing with a tumor, right? That is poisoning the whole body. So Hyperbarics will help to offset that. And I'm, I'm just trying to put this in a very simple terms.
Yeah, yeah. Um, sort of, you know, to get this across the board. So it might help in situations when people are already losing weight due to cachexia of cancer, maybe to put back a little bit of that weight so they can have a little more energy and feel somewhat better. So I should say. It would have a lot of impact on side effects of having cancer now with cytotoxic effects of hyperbaric.
So the direct tumor killing effects it, it's a [00:27:00] very special protocol that needs to be done at the integrative oncology clinic the supervision of the oncologist. And it could be used in combination with other therapies, um, for direct tumor killing effects. So it's being combined with radiation or chemo, you know, or high dose vitamin C, but in a very precise and specific way.
Dr Mike T Nelson: Yeah, I know where, I dunno if
Dr. Masha Makeeva: that answers the question.
Dr Mike T Nelson: No, that's perfect. And I know we're making a lot of broad generalizations because different types of cancer and different treatments and different plans and, um, all that kind of stuff, so, no, that's, that's super interesting. Um, before I ask you about some of the, the sports performance stuff, um.
Maybe just review, like you mentioned, some of the parameters with, with hyperbaric, because I think the people who are not familiar with it, they hear, oh, so and so did hyperbaric and it was amazing. Or, oh, it didn't do crap for me. And as you know, there's different types of hyperbaric [00:28:00] setups, there's different pressure differences, there's different types of oxygen concentrate, there's many different parameters.
So it's not like it's just one thing that is done all the time that that's a little bit more complicated. So you can make the argument that maybe they didn't do long enough, maybe they didn't do the right pressure, maybe the concentration was different, that type of thing. Like what are some of the, when you're looking at creating a protocol for hyperbaric, like what are some of like the parameters that you have to pay attention to?
Dr. Masha Makeeva: So when I create a protocol, I generally first look at the person. I'd like to see where they at in their health journey. What is their diagnosis? What are their symptoms? What is their vitality? Because we can use different pressures. The question is how well or how not well are you going to feel at the particular pressure.
I take that into account as well. Then we create a plan based on the goals, on the health goals. We can have very different health goals. [00:29:00] Yours might be run a marathon. Mine might be get through the day and do three tasks a day without crashing, you know, so those will call for different protocols as well.
Then I look into pressure of course, because pressure is a variable that could be changed. We are under pressure all the time. It's important to understand that. So right now at sea level, I'm under one atmosphere of pressure. There's one atmosphere above me, right? That exerts pressure, and this is the pressure I'm at.
When we go inside a hyperbaric chamber, we increase that pressure and we can increase it to different setting. We can go to 1.3 atmospheres. That's common. That's usually used in soft chambers. So that's 30% more that I have right now, right? Just sitting here at sea level, I can go to 1.5, which is 50% more, or I can go to two atmospheres of [00:30:00] pressure, which is one atmosphere more plus the one that's already there.
Hence two, the effects will be different. The main effect of pressure is the dissolution of oxygen in liquid inside of us. So when we breathe air, just quick physiology one-on-one. Yeah, yeah, please. So when we breathe air oxygen in the air will go into the bloodstream through gas exchange in the lungs. It will attach to hemoglobin to get to the cells.
That's why we measure your hemoglobin When we do the blood test and remember oxygen saturation from COVID times, which was super popular, and everybody who got sick, the first thing we did, we measured their saturation of oxygen. That's how saturated is that hemoglobin. How many sites are occupied so each hemoglobin can carry four oxygen molecules to the cell?
If it's saturated, [00:31:00] I cannot get more oxygen in even if I really want it to, because the only way it can travel if it binds to hemoglobin. If your hemoglobin is low, you're a little hypoxic. You're not getting enough oxygen. When I get inside the chamber. I no longer need that hemoglobin because the pressure will dissolve gas in liquid.
That's law of physics. It will happen in every single person or any creature, right? That is live, that has liquid, and that can breathe in oxygen. That gets into the chamber, so that oxygen will be dissolved in plasma, and it will get to my cells. My cells will uptake the oxygen, and they will start to produce energy.
The more pressure, the more oxygen gets dissolved. Now we come to second variable. How long is my hyperbaric session? We want this to be at least 60 minutes, one hour, because we know that that's how [00:32:00] long it takes to get enough oxygen to the cell because we only breathe so many times in a minute, right?
There's only so much oxygen that can be delivered in a minute, so after 60 minutes. We sort of get enough for all the physiological changes to happen, then it's very important. And I, that can vary. And it can vary in a sense that if it's an athlete who just had an important game, and of course maybe they're excited because they won, but they're also tired, so we'll help them stay in a chamber longer so they can get more oxygen, longer recovery, as opposed to somebody who has fibromyalgia, whose cells are not optimized yet for this much oxygen.
So we keep the sessions shorter to one hour, sometimes even 50 minutes. That's the difference in the length. And then there's frequency, which is super important. Am I coming to the clinic once a week? [00:33:00] Mm. I doubt I'm getting any benefits from Hyperbarics. Hyperbarics. Yeah. Is, is a, is a therapy where you need many sessions.
And those sessions need to be done frequently enough. So at least three a week or even even more se seven a week, sometimes all these variables will vary. And then how many sessions I need? Will I need 20, 40? How about 60? How about I'm 80 years old? Or maybe 85, then I'll need more sessions, you know, because all the repair mechanisms are slower in my body now.
I'll get there, but I'll need more steps, you know, to get there. So all these different variables, they go into hyperbaric protocol and that way becomes personalized. And then comes the fifth element. How do we incorporate it in everything else that you're already doing? If you are getting IVs, maybe you have a red light therapy.[00:34:00]
Panel at home that you use, um, maybe you take supplements. I mean, everybody's taking supplements nowadays or you do. What about your exercise and your training schedule? How we incorporate it there? What is the timing of the session? Morning, evening, um, before workouts, after workouts. So there are many things, you know, and that's when I come in and I usually sit down, break it down.
And I love putting together those protocols because, you know, every single part moves the, you know, sort of the neighboring parts and it becomes, and it just moves the needle so much faster.
Dr Mike T Nelson: Yeah, I don't imagine a lot of that is, it's just like for, I think of me writing programs for, for clients and athletes, it's a lot of science and principles, but at the end of the day, there is a lot of art that goes into it of.
What your experience is. We've done this and done this and done that. Because as you know, research studies are amazing and super, super helpful, [00:35:00] but they're also very general and they're specific to the population that was done. And then when you're working with an individual, there's a lot of other considerations of what's, what's going, what's going on.
So I think there's, it sounds like there's a fair amount of art and experience to doing it also at the same time.
Dr. Masha Makeeva: Yes. A lot. That's why we call it the science and art of medicine.
Dr Mike T Nelson: Yeah. '
Dr. Masha Makeeva: cause yes, your knowledge, but also a lot of it is intuition, which is a separate topic. I don't think it's intuition. It's the way your brain works.
If it's seen the same situation, subconscious X amount. Yeah, X amount of times. Then it makes sort of connection and then it tells you what to do. We call it intuition, but it's based on some sort of knowledge always.
Dr Mike T Nelson: Yeah. I even do that sometimes. I, I still a lot of times write out old school programs on paper, write everything out, and then if I'm not sure, I don't feel like a hundred percent confident, I'll [00:36:00] just, I'll leave it, sit overnight.
I'll sleep on it. I'll get up the next day and look at it, and then be like, oh yeah, I, I should change this. This is good. That's good. And it's crazy how when you just kinda let your subconscious kind of think about stuff in the background or go do something else, how you come back and look at something, you're like, oh yeah, that, that thing there
Dr. Masha Makeeva: a hundred percent.
It's that. And, and it's good to, usually your first thought is the right thought.
Dr Mike T Nelson: Mm-hmm.
Dr. Masha Makeeva: But then you need something to back it up. Right. And then sometimes I do cha I go back and I can change some things. Um, and there's never just one right choice, you know? I, I believe with medicine, um. We don't have to be that exact all the time, because you can get from point A to point B by taking three different routes and, and they'll take you there.
Dr Mike T Nelson: Yeah. 'cause physiology is [00:37:00] also very multi pathway. Multi redundant. I've often joked that it's associated with every air quote, bad engineering word. Right. It's multi redundant, it's chaotic, it's antisi, tropic. It's all the, the things that make it hard to figure out. But the pro of all that is, there's not just one training program.
There's not just one protocol for hyperbarics. There's a lot of things you can do that can still get you to the end result, especially when you start, you know, adding other therapies and things to it.
Dr. Masha Makeeva: A hundred percent. And um, you mentioned something very important that I didn't say. I can put together an amazing protocol, but if that person doesn't have access to hyperbaric chamber, that goes to two atmospheres of pressure.
It's useless. So I need to adjust and see if I can work around with the chamber that they have access to. Or if I can't, then I have to let them know. We need to find the solution for that. That's [00:38:00] absolutely also very important.
Dr Mike T Nelson: Yeah. Same thing I do when I write programs. Like one of the big questions I have is it's a constraints led approach.
Mm-hmm. Like how often are do you think you can exercise? What equipment do you have? Where are you going? Like, what is your time? Like those are like all the things that give you the, the constraints that you have to play in. Because if I write something that's 10 hours a week and they're like, dude, I told you I can only do four hours, like they're could probably do nothing.
Right? And you're like, just doesn't matter how good that program was, they just can't do it. And that's a unrealistic expectation. So.
Dr. Masha Makeeva: Meet people where they are. Yeah. Mike, I need to move away from the sun.
Dr Mike T Nelson: Yeah,
Dr. Masha Makeeva: go ahead. If you don't believe it, it's, it's the first sunny day in two months. Oh geez. It's, it rained for two months.
I didn't expect that, but I need to blow some.
Dr Mike T Nelson: Yeah. All good.
Dr. Masha Makeeva: Let how I get this done. Um, [00:39:00] what's the, maybe like that.
Oh, right. I also have so many wires here now I have the, it's the hydrogen gas generator, it, the red light therapy and whatnot. So let me see. Okay. That should, that should do it.
Dr Mike T Nelson: Perfect.
Dr. Masha Makeeva: Mm-hmm.
Dr Mike T Nelson: What I know it seems like to me. Hyperbarics are becoming more popular in terms of people potentially having a unit in their house.
What are your thoughts on that? There's obviously, from what I've seen, the kind of the soft shell, which has a limit of how many atmospheres. There's then more of the hard shell version. Obviously size is a big issue. What are your general, I guess, thoughts on that?
Dr. Masha Makeeva: I think it's good because more people can have access to hyperbaric therapy.[00:40:00]
I think it also calls for, um, stricter regulations.
Dr Mike T Nelson: Yeah.
Dr. Masha Makeeva: One my
Dr Mike T Nelson: questions I had was safety too, so you can touch on that too if you want.
Dr. Masha Makeeva: I, I will absolutely touch on that because it's so important and I think it's being overlooked a lot. So it used to be that we had two types of pains. One for clinics that would go to higher atmospheres that would be pressurized with oxygen.
A lot of times nowadays those are not used as much. We try to pressurize with air that's generally safer and more financially, um, affordable for the clinic as well. So those chambers that were approved, approved for home use would go to 1.3 a TA. But things have changed. Now you can get a chamber that goes to 2.5 atmospheres of pressure for home use.
Dr Mike T Nelson: Hmm.
Dr. Masha Makeeva: And the problem there that people who [00:41:00] operate that chamber, they do not have, um, knowledge. To run it safely. It's by grace of God that nothing major happened. Although we had two accidents last year. Yeah. Both were in the clinic. They were not at homes. Um, but still it, it, it's, it's serious and it's important.
I teach hyperbaric therapy. I run hyperbaric certification courses here, there in person, here in Madrid, and people come from all over Europe. We've had people from Australia, Canada come to, to learn, but those are, the numbers are intense. Maybe 20. I mean, we've had close to 200 people certified, but it's a drop in a bucket.
Of people who use hyperbaric therapy and things can go go wrong because you need to know how to handle pressure and how to [00:42:00] handle oxygen. If we could have some form of formal education for everybody who buys a hyperbaric chamber, I think it would be a lot better than the way things are right now.
Yet I do think that chambers should be available for home use, and I'll give you a quick example. Imagine a child on autistic spectrum. It's already very difficult for parents or for caregivers. Now they have to take this child, bring them into clinic, which is a very new environment. While they will feel really stressed, sometimes drive to the clinic is like an hour than an hour to get back.
So it becomes quite a workload for the family. They're less likely to do the frequency and the number of sessions required. It's much easier if they could have the chamber at home for an athlete. Same idea, right? They come home, they [00:43:00] shower, they get into the chamber, recovery done. Now what if they have to go to the clinic?
It's a different story. It's maybe it's already at 9:00 PM that they get home from, um, from practice. You know, not convenient. It's the convenience of having it at home. But also clinics are important as well, because at the clinic, most likely have a practitioner who will help with a hyperbaric plan, who will oversee different side effects and things like that.
Important not just safety. Safety is one thing. It's also side effects. It's a very safe therapy in a sense that if everything's done properly, nothing's gonna happen. But there are different side effects to it. If you don't know that you need to equalize ear pressure and you don't do it when the pressure is going up because nobody told you, it's very likely that you can get some form of ear bar trauma, which is [00:44:00] completely preventable and avoidable if you know that.
But nobody's being told that they need to do it. I cannot begin to, how many emails I get every day of people sending me an email and asking the same question. I did a hyperbaric session at this, at this facility today I feel fullness in the ears, or My ear hurts, or I'm not hearing things as well. And I'm saying, did you equalize that pressure when same way you do on the airplane?
Closing notes? Yeah.
Dr Mike T Nelson: Scuba diving.
Dr. Masha Makeeva: Scuba diving, you know, did I have to do that? They asked me. I didn't know I had to do that. And they say, but this is the negligence of the person who provided the hyperbaric therapy because they had to tell them that. Um, that's my pet peeve if
Dr Mike T Nelson: you know, yeah, totally.
Awesome. In terms of performance, does, if someone [00:45:00] has access, let's say to a hyperbaric, they are doing it in a safe manner, they've been instructed, and let's say they have it at their home and they want to increase their, um, we'll just leave a general exercise performance. Does hyperbaric increase exercise performance or what's called like an genic?
Or is it kind of more on the recovery side getting you back to baseline faster? Or could it potentially be both?
Dr. Masha Makeeva: So when I teach hyperbaric therapy and when we get to sports medicine, I always say hyperbaric therapy can be used in sports medicine for improved performance and recovery. So that answers your question.
It can be used for both, but the protocols will be different. It's the protocol that determines whether a person goes into recovery or instead of working on his performance. Generally, shorter sessions, more performance will stink. [00:46:00] Longer sessions will send somebody into high into par sympathetic mode, right into recovery mode.
So that's more for recovery. Um, that's just a general rule. Now when we work with a professional athlete. We, we of course look at their goals at that particular moment. What are the goals? Where they are? Is it, are they in the game season? Is it off season? Were they injured and they're recovering from an injury?
Then we'll concentrate more on recovery, or we concentrate more on performance. But I truly believe that to improve performance, you need to look into recovery because performance depends on how well you've recovered from your previous session.
Dr Mike T Nelson: Yeah, I agree with that. Like the, you know, even some of the stuff I've done is if an athlete, let's say has poor recovery, and let's say it's an off [00:47:00] season model and you know, they might be able to only train maximally.
Three, let's say maybe four days a week. If you can increase their recovery, so IE, you can get them back to baseline faster. You know, a lot of times I can add a whole, another entire session of training, right? And still have a high quality training session. So if you can have more high quality training, you are gonna get a better result.
Right? The caveat there is that the quality of that session has to remain high, because I'm sure, as you've seen, a lot of athletes tend to be very hyper motivated and they're like, well, I trained seven days a week. It's like, yeah, but maybe only two of those sessions I'd say are very good. The rest is like, yeah, you're doing stuff, but it's not transferring to your sport.
You're just kind of digging a bigger hole where if we could get you to recover better, get you back to baseline, now you could execute higher quality work, which is gonna transfer to your actual sport. So things [00:48:00] of recovery then become super important at that point.
Dr. Masha Makeeva: But with hyperbaric therapy, you can absolutely achieve both.
Why? Because what you talk about motivation? Well, oxygen, the, the organ that consumes the most oxygen is the brain, right? So we know then, then oxygen will affect not only the physical, but also the mental health. And I, I find that it's often overlooked. We always look at VO two mats. We look at, um, muscle growth, you know, all these different metrics.
But who is looking into mental health of an athlete? That ability to make a decision, because I think that separates a really good athlete, right? The elite athlete from just, just a good athlete is that ability to make those decisions in split second, but also they suffer from a lot of depression and anxiety and all these things are overlooked.
So one would send [00:49:00] oxygen to the brain. We improve all these things as well and that translate to a better session, to a better performance during the game because it works together with their physical form and their physical health.
Dr Mike T Nelson: Yeah, I think that's super interesting. There's even, as I'm sure you're aware, some stuff now on different psychiatric diseases are probably more related to local a TP production, which obviously is highly related to, you know, oxygen and things of that nature, that it's maybe more of a lack of a better word, metabolic disorder.
Chris Gardner has published some very interesting stuff on that using a ketogenic diet and yeah, so I think that's a, a super good point that I think is overlooked a lot.
Dr. Masha Makeeva: And it all comes down to the health of mitochondria. I do believe that we are as healthy as our mitochondria, so we to, to assess the overall health.
Let's look at the health of the mitochondria because. [00:50:00] Everything that happens to us is a consequence of our metabolic health. What is happening? How we use fuel to make energy, how we use food that we eat? Well, first of all, let's make sure that we eat good food, right? Nutrition, things like that. So the quality of the fuel has to be good.
Then we send it to the factory where we will make energy. Oxygen is the last step of that. What about four other complexes in that chain? Like how optimized is that? And also I think important point that a lot of people overlook when it comes to hyperbaric therapy or any other therapy that improves the health of mitochondria.
Somebody had a session in a hyperbaric chamber, so their amount of energy they produce will go up because there's more oxygen. So it produce energy more efficiently. What are you planning to do with this energy? [00:51:00] Use it to heal things or use it because you're so used to that fast paced lifestyle that drains health of mitochondria.
And that's my biggest issue with, with the modern lifestyle that we have, we're we, we became overachievers, the more, the better. We sort of measure success by the amount of content that we produce and by amount of clients that we have by amount of money that we make. So it becomes a never, never ending gain where we are trying to chase, I don't know what, but the end result that it's the mitochondria that takes, um, that, that suffers through the process and, and it can't keep up.
And then we end up with all those metabolic diseases. So with hyperbaric therapy, if you're an athlete or not an athlete or maybe have arthritis or maybe [00:52:00] you're recovering from long COVID, anything, take your time and rest. I think that's one of the points that people forget and, and, and that decreases vastly the effectiveness of any therapy out there.
Dr Mike T Nelson: Yeah, I am. That's one thing I've gotten a lot more into the last probably year and a half, I would say, is just any form of downregulation. Right. And at this point I'm like with clients, like, it's almost like whatever they can do. And then in a perfect world, I'll move that downregulation methods, which there are many immediately as close to after their training.
Probably similar to you mentioned hyperbarics, they become more parasympathetic. So can you get this high output? And then now can we get you back down to baseline faster? So even simple stuff like if you have access to Asana, do some breathing even lie on your back with your arms out, legs up. Um, I use the shift [00:53:00] wave device a lot, which has been super amazing for a lot of downregulation using pulse pressure waves and some audio scripts and tones and stuff like that.
It's been super fun. Um, but it sounds like hyperbaric also serves in that direction where because of the environment you're kind of limiting the amount of outside exposures. And you mentioned with longer things that athletes or clients become more parasympathetic, correct.
Dr. Masha Makeeva: Athletes become more parasympathetic.
We discussed this when you came to my podcast. Yes. That's a very interesting discussion. I can tell you, it, it just started this whole thought process in my head where you mentioned that how HRV goes up. I mean, anybody who's interested, I recommend listening to that episode because yeah, we'll definitely link it in.
Absolutely brilliant. Oh, thank you. In how you, how you describe that. Because if you, if you send somebody into in too, if the partisan sympathetic [00:54:00] mode is too much, that's not a good thing either, right? You need to set of balance those things. So, um, staying in a hyperbaric chamber for a long time can absolutely do that.
Then how do you get to baseline? So you need to use it wisely. Any therapy, including drinking enough water, needs to be used wisely, right? Same with hyperbaric. So just this many minutes in a hyperbaric chamber. Then rest for half an hour at least. Because when you get out of the chamber, what happens to the oxygen that was sent into your blood, into solution?
The pressure is down. So oxygen comes out of the solution. You're flooded with the, so use this 15, 20, 30 minutes for your body to repair. You know, don't run, don't stress. Don't call somebody on the phone and you know, start, you know, where's your package that didn't arrive, you know, that will, you'll use up a lot of energy that [00:55:00] way.
You know, just sit down and you mentioned, you know, some of that. It beats and in different light therapies that could be used. Super important. Combine those things wisely without thinking of what else I can do to sort of increase my performance. Because at one point the body will say no.
Dr Mike T Nelson: Yeah, and I think that's a super important point that I, I think, and this is something I I missed too, is that the association is, when I'm doing the hyperbaric is where I'm seeing my little air quotes, the benefit.
But like you mentioned, what you're really doing is you're, you're kind of loading the system, you're saturating it, and then when you go back to that normal atmospheric pressure, that's when you're getting the release of it. So what you do after it is also super important. So my brain goes to, somebody had access to hyperbaric, okay, we could do that, saturate the system, and then maybe stick him like in a shift wave chair for.[00:56:00]
20 minutes to keep that parasympathetic, keep them relaxed, keep them in that, you know, almost they have a synthetic sleep protocol, like close to sleep relaxation as their body is becoming saturated with the oxygen at that point.
Dr. Masha Makeeva: That would be ideal.
Dr Mike T Nelson: A perfect world. Right. Which, you know, it's hard to get everyone to do everything all the time, but Yeah.
And in terms of a ideal situation,
Dr. Masha Makeeva: but I think if you explain it well then people will absolutely agree with that.
Dr Mike T Nelson: Yeah.
Dr. Masha Makeeva: Everybody likes to rest. I mean, what you are suggesting in that people take another 15 to 20 minutes to rest and you, and you explain why that is very beneficial if they just had a hyperbaric session and then the whole world agrees because it's nice to rest.
Yeah. And then you feel so well after that.
Dr Mike T Nelson: Amazing. Um, kind of a outta left field question as we wrap up here. Have you looked [00:57:00] at CO2 therapy? So it just so happens I went to my functional neurologist yesterday, Dr. Jeremy Schmo here in Minnesota. Um, and he had a full body CO2 system where they put you in what looks like this kind of rubber suit, like dry suit thing.
And then they inflate it with CO2 and it turns out CO2 can be absorbed transdermally through the skin. And so I was chatting with him 'cause he does a lot of hyperbaric work for TBI concussion, um, things like that at his clinic. And so I was thinking is there something that almost like I think of contrast therapy where you've got a heat exposure and you've got a cold exposure, you kind of go back and forth again.
There's pros and cons to that. I think it's a little hard to troubleshoot that to start off with. But any thoughts off the top of your head on the other end of the spectrum, which might be like a CO2 type therapy?
Dr. Masha Makeeva: So I think CO2, which carbon dioxide falls into the. Um, real [00:58:00] of how we use gases medically.
So hyperbaric therapy, we use pressure and oxygen. There's hydrogen that we can use. Also gas, we can use nitrogen in cryo chambers. Maybe not necessarily inhaling and that's not good for you, but at least it's being used. And now we are researching carbon dioxide. I saw some studies, I saw some clinics that are doing that.
I think we're at the very early stages
Dr Mike T Nelson: mm-hmm.
Dr. Masha Makeeva: Of sort of having protocols and, um, structured information on that. But I think it's very promising from what I've seen. I don't know if it's hot and cold, um, as oxygen and carbon dioxide. Yeah, but I, yeah,
Dr Mike T Nelson: yeah.
Dr. Masha Makeeva: Both have their place, which is need to find the safe way of administering it and find contraindications, you know, structure it, look at [00:59:00] the side effects.
Now what, who would be the ideal clients and patients for that, and who else could it could be used for and things like that. But definitely I think, um, I think it's it will be huge at one point, but it takes a lot of time. One thing I find, um, with hydrogen, I'm, I'm quite interested, I use hydrogen generator myself, both for gas and for water.
And, um, it's been 15 years I think, since, since it's being researched. But it's getting very little attraction now, maybe a little more. So it will take another 10 years before it becomes, um. As popular as hyperbaric therapy. Now, hyperbarics, 15 years ago, everybody was thinking I was crazy, you know? Same with CO2, but it's it's, it's an interesting topic.
Definitely.
Dr Mike T Nelson: Yeah. Even the hydrogen therapy is one of those things I've looked at [01:00:00] off and on for, oh, God, probably eight years now. And the first time someone mentioned it to me, I was like, why are you crazy? I don't know. And then I, like, every other year I feel like I kind of change my opinion on it. And like some years I'm like, oh, it is amazing.
Other years I'm like, ah, I don't know. But it, I would say over time, the more I I keep reading, the more I'm kind of like, I think there's probably something there. Again, I'm not a hundred percent up on the literature on that to be honest, but I. I think there's something there. I'm not sure what, but it, I think it's, you know, kind of like where red light therapy was.
You know, I started looking at that 10, 11 years ago and at the time I was like, oh, these weird biohackers. 'cause there was like one or two companies that were making 'em, and I actually started reading literature on it thinking there's gonna be no literature on this. This is just absolute crap. And then I was shocked at, oh my God, like [01:01:00] photobiomodulation.
There is a absolute ton of research on it. And so now it's, I've, you know, I use a red light therapy probably most days. I'm home for last probably eight years. You know, it's probably one of the rare things I've, you know, still kept in my protocol. So, yeah, I think there is something super interesting to, to both of those areas.
Dr. Masha Makeeva: Absolutely. We just need to do more research and maybe start using it, um, more because I guess you learn from practical use. Um, we all do. Um, that's why our clients teach us all these things really and their experiences. You know, we start recommending it based on what literature says or what maybe other doctors doing, and then see how people react.
And they don't necessarily react the same way as study participants. Yeah. So it gets more confusing and then years go by and it becomes something so widely acceptable. Like [01:02:00] photobiomodulation, AKA red light therapy, right? Where it used to be that it was available in some clinics with, you know, lasers and things like that.
Now almost every household has some form of red light therapy device.
Dr Mike T Nelson: Yeah.
Dr. Masha Makeeva: That's how
Dr Mike T Nelson: last questions we. Last question as we wrap up. Is there, if people want to play with hydrogen therapy, is there, what do you would say is a good starting point? I know there's little tablets, you stick in your water, there's, you know, hydrogen water generators, there's hydrogen air generators.
Is there a good starting point you would recommend people kind of look at?
Dr. Masha Makeeva: Absolutely. So tablets will be the good starting point. Okay. And why? Because it, it's very little investment comparing to hydrogen gas generator tablets are very well researched. They will act on the gut and the liver and improve somewhat the metabolic health.
And you will see right away, is this something that's working for me or not? [01:03:00] With gas, it's more complicated because the truth is maybe one or two machines on the market really deliver the consistent dose of a hydrogen gas. It's very difficult to assess. So I have several podcasts that I've recorded because I needed to understand this myself on, and, and honestly you understand things, but you also understand there, you know, that there's something that we know, that we know we know that we don't know.
And we don't know that we don't know. So this is the
Dr Mike T Nelson: Unknowns. Unknowns.
Dr. Masha Makeeva: Exactly. So this is, honestly, we don't know that. We don't know this still, but tablets is a very good place to start. Absolutely. It's very d the only caveat is that you need to understand how to take them. Once you put them in water, there's a very short window until hydrogen evaporates.
So yeah, it spills away. People don't get results because they don't follow the instructions. But I [01:04:00] do encourage, like, talk to a practitioner, make sure you don't have any contraindications, and that with everything. Everything that you want us, you know, even the nutritional plan needs to be supervised somewhat somewhere.
And then hydrogen tablets, definitely a place to start.
Dr Mike T Nelson: Cool. Thank you. I think I'll add that to my list again to, to play with again when, probably this spring, when I don't have as many variables going on.
Dr. Masha Makeeva: Sounds good.
Dr Mike T Nelson: Awesome. Um, so tell us all about, I know you, you do protocol recommendations for people.
You put out a ton of stuff, of content and everything else. So tell us about all of the stuff you got going on.
Dr. Masha Makeeva: I teach Hyper Bear courses. Um, I do believe in the power of education when somebody's educated. They're more likely to make the right decision and help other people recover better. I also work with private clients where I help them put together hyperbaric protocols, and [01:05:00] that's mostly what I do, and I consult with clinics on how to create programs that work.
Things like how do you combine hyperbaric oxygen, cryo red light therapy in one place? How do you put programs together that work? This is a big part of my work and a big passion of mine because I know that I can influence the health of people on a bigger scale.
Dr Mike T Nelson: Mm-hmm.
Dr. Masha Makeeva: It's great when you consult with a client to help one person.
When you teach a group of practitioners. You help so many more people, but when you put together a clinic or help put together a clinic that will hopefully see clients and help them improve their health, that's even bigger. I do believe, Mike, I have this thing, I do believe that if the world is a healthier place, it's a much better place when people are healthy, hundred percent to each other.
I do believe that we can change this [01:06:00] world by just changing physical and mental health. And I hope I, you know, I, I can contribute to that. So if somebody's interested, oh, and I have a podcast. Mm-hmm. It's a hyperbaric podcast. That's how we met actually. Yes. You were on my podcast where I get to talk to smart people like yourself and ask them questions, you know, and educate myself.
And really those con I love those conversations. And these are all available on my YouTube or podcast pla platforms.
Dr Mike T Nelson: Awesome. Yeah, we'll definitely link to all that stuff and yeah, I'd highly encourage people if they have hyperbaric questions and things to, to reach out to you. I'm sure I'll probably have way more questions for you in the future and hopefully be able to send you some people and stuff too, because it's, yeah, it's one of those areas I've.
I've looked at enough to know, I think there's definitely something there, but I am definitely not an expert in any, [01:07:00] like what do you do at that point? I, I dunno. So it's nice to have other people you can ask questions and send people to and get information and everything too. So yeah. So thank you so much for all that.
I, I really appreciate it and we'll link to everything down below.
Dr. Masha Makeeva: Thanks for having me.
Dr Mike T Nelson: Thank you so much. Appreciate it.
Speaker 2: Thank you so much for listening to the podcast. Huge thanks to Dr. Masha for all the wonderful information on hyperbaric oxygen therapy and just talking about, you know, good mitochondrial and general health. Uh, overall. Uh, if you want any more information from her, make sure to check out all of her great information, uh, at our links and everything down below.
I highly recommend that. If you want more information from me, check out my Fitness Insider Newsletter link down below. You'll be able to get onto the list for free, and I send you all sorts of great information about proving body composition, improving [01:08:00] performance, better body comp also, and doing it without destroying your health in the process.
As always, thank you so much for listening to the podcast. Really, really appreciate it. If you have a little bit of time, you can. If the download, the, like, the subscribe, all the great stuff that helps us with the old algorithm. Uh, if you are on YouTube, again, most of our content goes out via audio channels, but we are trying to put a few more clips and everything else on YouTube.
If you could help us out by hitting the old subscribe button there, that makes YouTube nice and happy, which helps us. And if you have even just 30 seconds to leave us a review on iTunes, Spotify, wherever, uh, it goes an extremely long way to helping us. Get more wonderful content on the podcast. Uh, we've got a lot, lot more great episodes coming up.
We've got one with a super in-depth dive on, uh, breathing with CO2 O2 regulation breath work techniques. We've got Dr. Darren [01:09:00] Kow coming on to talk about creatine, Dr. Scott shared to talk about methylene blue and a bunch more stuff coming up. So make sure you stay tuned for all of those. Coming out, uh, very soon.
So thank you so much for listening to the podcast. We really, really appreciate it, and we'll talk to all of you next week.
Speaker 3: Well, that's talent. An opera singer who tap dances and sings cowboy songs. I wonder if there's anything she isn't good at. Yes. Choosing what shoe to be on.
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