Dr. Tom Rifai

  • Home
  • Dr. Tom Rifai
Call Directions Website

Flex5 Digital Health MD | CEO of Reality Meets Science® | Chief UVIP® Executive Health Coach | Architect of The Flex5 Lifestyle® | Digital Health Visionary | Speaker | Author | Podcaster |

29/10/2026

How much do you value your health? Join me - triple board certified MD Dr Tom, 6pm tonight, October 29th, to learn about the power of understanding and caring for your Metabolic Health. Call 248-355-9111 and talk to Amy to get signed up. Leave a VM if she’s not immediately available and she will call you right back.

Five “secrets” that shouldn’t be secret about how food affects your odds of healthy longevity.These Flex5 Food principle...
29/10/2026

Five “secrets” that shouldn’t be secret about how food affects your odds of healthy longevity.

These Flex5 Food principles apply across eating patterns, cultures and cuisines. Understanding them helps you take control—at the grocery store, in your kitchen or ordering from a restaurant menu.

First, BEING REALISTIC. Then, understanding that what you eat on AVERAGE over time matters:

1. Keeping AVERAGE intake of calories from sugar, alcohol and cream-based beverages as low as reasonably possible. Along with understanding soft-to-solid food calorie density, this helps minimize non-essential calories and supports weight and insulin sensitivity management.

2. Cutting AVERAGE calories per bite of food down. Mostly, more water-containing foods and less dry, calorie-concentrated foods, especially CRRAHP—calorie rich, refined and hyperpalatable…but a touch of CRRAHP is fine. Forget the fear mongers. This addresses insulin resistance risk without living deprived.

3. Cutting AVERAGE sodium per bite of food while enhancing AVERAGE potassium per bite of food. This addresses blood pressure.

4. Keeping AVERAGE saturated fat and dietary cholesterol modest. Yes, I’m aware of the myth that dietary cholesterol is irrelevant, which is hogwash. My targets: saturated fat well under 20g/day on AVERAGE and less than 10g many days; dietary cholesterol well under 200mg/day on AVERAGE. Some people, unlike me, are not hyperabsorbers of cholesterol—but better safe than sorry IMO. This helps keep ApoB-containing lipid particles as naturally low as possible.

5. Keeping AVERAGE PF10/calorie ratio high…>75% is a good start. What is PF10? My label-reading video in the comments explains so once you learn the mathematics, you won’t always (or almost ever, other than fun conversation with friends, or in my case, patients) have to actually DO the mathematics. With practice, you can recognize food composition visually and know which questions and requests to make.

These pictures show that in action at California Pizza Kitchen.

I kindly but assertively ordered the Thai Crunch Salad without chicken, light on crunchy wontons and dressing.

Also, a wood-plank-cooked salmon with roasted broccoli. I requested no salt added to anything.

We can take control of our orders and ask the kitchen to work toward OUR goals—including cutting back on salt restaurants otherwise readily add.

And yes, I skipped the bread basket. Why? As a board-certified bread-aholic, I know better than to let a beautiful but cunning wolf (disguised as an obedient dog) invade my space, more than once in a while.

Then, the Flex5 “1 minute halftime” helped TWICE: pause halfway through any plate or bowl for one minute. “Do I truly want more, or can I stop?”

The salad was amazing. I was roaring through it and could’ve finished it, but paused to leave room to enjoy the hot entrée. I paused again halfway through my entree—and now have a beautiful lunch for tomorrow at work, saving me money and time. Save and savor later!

Two educational videos in the comments:
• Nutrition label reading—the 5 principles in this order.
• Flex5 “Hunger Management,” including the “1 minute halftime.”

AVERAGE is intentional. Flexibility and pleasure belong here.

This is how food, health and happiness meet in the real world. The Flex5 Lifestyle®, brought to you by Reality Meets Science®.

28/10/2026

Walk n talk Wednesday on “Understanding the progression of perspectives and mindset through transformation, transition and maintenance phases of health.”

27/10/2026

Reality Meets Science®: Does cannabis make your brain bigger?

An SM post is circulating claiming that the more cannabis you've used, the bigger your hippocampus and the better your brain works after 40. Here's what the study actually found (full link in comments).

What the researchers did: They looked at UK Biobank data from about 25,800 adults (ages 40-70) with brain scans and about 16,700 with memory and thinking tests. Participants were asked whether they had ever used cannabis, and roughly how many times.

What they found: People who had used cannabis had slightly larger volumes in a few brain regions and scored a bit better on some tests.

Why that isn't the headline it's being made into:

• The differences are tiny. We're talking well under 1% of a structure's size. With tens of thousands of people, even trivial differences show up as "statistically significant."
• More isn't better. The gap was mostly between non-users and people who'd used 1-100 times. Heavier users didn't differ from them.
• It's a snapshot, not a cause. The study can't tell us cannabis changed anyone's brain. People who try cannabis may differ in education, income, personality, or health habits in ways the study didn't measure.
• "Ever used" is a blunt measure. There was no information on potency, how often, how recently, or whether use became a problem.
• Not everyone fit the pattern. Women showed a weaker pattern than men, and some brain regions were smaller in users.
• Adolescent-only users (last use by age 25) looked fine decades later. That's reassuring for brief, early experimentation. It says nothing about heavy or dependent use in the teen years.

The honest takeaway: This is an interesting finding that deserves follow-up research. It is not evidence that cannabis protects your brain, and it's not a reason to start using it. The authors themselves say more research is needed.

When a study is shared online, ask: How big was the effect? Could something else explain it? Did the study actually test cause and effect?

  …My step counter froze. Downtown Detroit kept me moving. 😎Leaving a meeting, I checked my phone: barely 5,000 steps. A...
26/10/2026

…My step counter froze. Downtown Detroit kept me moving. 😎

Leaving a meeting, I checked my phone: barely 5,000 steps. A little guilt kicked in, so I picked up the pace.

Turns out the counter was stuck. Apple, you had ONE job. 😂

But with the sunshine, fall colors, and Detroit skyline, I got too busy enjoying the walk to check again.

Final tally: 15,614 steps. Goal blown out of the water.

That’s what I love about walking outside: sometimes you stop counting the steps and just enjoy where they take you.

No hard feelings, treadmill. We’ll talk in January. ❄️

How’s your NEAT (non-exercise activity time) freak flag flying today?

First time Anita’s Kitchen in Detroit! Tell me your Flex5 order and I will show you mine😉
26/10/2026

First time Anita’s Kitchen in Detroit! Tell me your Flex5 order and I will show you mine😉

26/10/2026

Mind Matters Monday on a Healthy Mindset for the holidays! Do you celebrate Halloween or let it turn into HalloWEEK?

Also an opportunity to join me Thursday 6pm ET on a free webinar focused on your metabolic health and longevity using The Flex5 Lifestyle methodology, as well as how you can join my health transformation program at CoreMed+.

25/10/2026

Metro Detroit—and friends across Michigan, Ohio, and Florida—what would 10 to 15 more years of excellent health mean to you?

I’m Dr. Tom Rifai, internationally recognized Lifestyle Medicine and Behavior Mod Specialist.

Join me for a FREE webinar this Thursday, October 29, at 6 PM Eastern.

We’ll talk about metabolic health, health span optimization and longevity with The Flex5 Lifestyle at CoreMed Plus (two sites in and near Bloomfield Hills), combining personal, human-to-human care with digital tools from Reality Meets Science to help turn good intentions into lasting habits.

Want to get lean, improve blood pressure or blood sugar, or stay strong and independent? Each and all are possible and more!

And you don’t have to live nearby. If you’re willing to see me in person for your new-patient appointment, we can then use telehealth for follow-up care across Michigan, Ohio, and Florida. I’m licensed in all three.

Sign up through the link in the comment section below, or call 248-355-9111 and speak to Amy, or leave a message and she will call you right back.

See you there!

NEW! Join me, NBC Biggest Loser Champ Season 2, Pete Thomas, Detroit Media Darling and amazing soul, Chuck Gaidica and m...
24/10/2026

NEW! Join me, NBC Biggest Loser Champ Season 2, Pete Thomas, Detroit Media Darling and amazing soul, Chuck Gaidica and my top male Flex5 longevity lifestyle blackbelt, Ricardo Villarosa, Director of College Transition programming at Wayne State University, for a phenomenal discussion on men’s health transformation for those 50+.

Link to full interview in the comment section. Please share with a “aging male“ that you love.

24/10/2026

NEWS on our NEW Reality Meets Science podcast with NBC Biggest Loser Season 2 at home Champ Pete Thomas, NBC Detroit and beloved Media personality Chuck Gaidica and top male Flex5 Lifestyle blackbelt, Ricardo Villarosa Esq. focusing in on health and men over 50 and how we look at our own health transformations through a Flex5 lens: our mind matters, our food, our physical activity, our environment environments and how and WHY we stay accountable to our health.

Address


Alerts

Be the first to know and let us send you an email when Dr. Tom Rifai posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

  • Want your business to be the top-listed health & beauty business?

Share