Overview

In this episode, Rachel sits down with Dr. Torquil Farrow, a Norwegian general practitioner and emergency physician with over 100,000 patient consultations across a 26-year career, as well as the author of The Pulse Cure. Dr. Farrow found that the vast majority of diseases he treated in both primary care and the ER stemmed from lifestyle-driven chronic stress and inflammation, and that wearable technology measuring heart rate variability offers a practical, accessible window into the autonomic nervous system that can help people course-correct before serious illness takes hold. This conversation covers what HRV actually measures, how to interpret it, which devices are most useful, and how sleep, exercise, nutrition, and alcohol all show up in your data in ways that make healthier choices easier to sustain.


You’ll Learn

  • Why heart rate variability is primarily a measure of the autonomic nervous system rather than the heart itself, and why variation between heartbeats is a sign of resilience, immune capacity, and parasympathetic health rather than something to be concerned about
  • Why HRV is highly individual and approximately 50% genetic, which is why comparing your number to someone else’s is far less useful than tracking your own trends over time and identifying your personal triggers and recovery patterns
  • Why the PMS week registers in HRV data as a strain comparable to a significant COVID infection, and why this makes a compelling physiological case for scheduling lighter work, softer exercise, and more rest during that phase
  • Why 80% of diseases Dr. Farrow treated even in emergency settings are rooted in lifestyle, and why research on 700,000 veterans shows that implementing key lifestyle habits can add up to 24 years of healthy life, even starting at age 60
  • Why sleep is the most important variable to optimize first because it provides the energy and clarity needed to make all other changes, and why effective sleep requires stopping food 3 hours before bed, cooling the bedroom, maintaining consistent sleep and wake times, and cutting caffeine before noon
  • Why only 30 minutes per week of exercise at 85% of maximum heart rate is sufficient for meaningful health benefits, and how this can be done anywhere including running stairs at an office
  • Why alcohol creates an immediate parasympathetic relaxation effect but then converts to acetaldehyde during sleep, producing physiological stress equivalent to hours of intense exertion, and why Whoop data shows it takes roughly 5 days to return to baseline recovery after drinking
  • Why hunter-gatherer societies tracked with wearables spend 10 to 12 hours per day in restful states and only 3 hours in moderate to light activity, and why modern chronic sympathetic activation is the root driver of autoimmune disease, cancer, heart disease, and neurodegeneration
  • Why Garmin watches using the First Beat algorithm provide the most detailed real-time stress tracking, while Oura and Whoop are better suited for morning check-ins and people who prefer not to monitor stress throughout the day

Sponsors:

EQUIP Prime Protein – Get 15% off: https://www.equipfoods.com/NHR15

Use code: NHR15 at checkout


Resources

Connect with Dr. Torkil:

The Pulse Cure book- https://amzn.to/4aNFVpu


Prioritize sleep. Calm down before bed. Cut the alcohol. Avoid late-night meals. That is where the most leverage is for most people.

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