The world is full of sexy advertisements, revolutionary gadgets and cutting-edge diets which all promise instant results. But these ads, gadgets and diets target a small subset of young, highly motivated, advanced enthusiasts, and often don’t address the real health and fitness issues that plague a larger aspect of society: obesity, anxiety and depression, liver disease, substance abuse, poor self-care practices. The vast majority of people don’t have the time to complete fitness regimens or the personalized motivation to stick with specialized diets. Dr. Pianka wants to start a conversation about every-day concepts that have made an enormous difference to himself and his patients. Facing physician burnout and depression, rather than writing another 'how to' manual, his book is a 'why to' guide through the complicated space of fitness and nutrition. As a practicing gastroenterologist in RI for over twenty years, he has evolved into an unexpected second career as an inspirational writer.