Health First: Why vitality is the foundation of a remarkable life.
- Dr. Val Margarit ❤️

- 4 days ago
- 5 min read

What if burnout, anxiety, and declining health are not personal failures, but predictable outcomes of systems that were never designed to support your health?
I am writing this because I believe personal responsibility is power.
Not responsibility as blame or as pressure, but responsibility as the ability to understand what is actually happening and respond with clarity. When we understand the problem at its root, we stop fighting symptoms and start reclaiming agency.
Health and vitality are usually discussed only after something has gone wrong. We wait until exhaustion becomes normal. Until anxiety quietly begins to shape our decisions. Until success no longer feels like fulfillment. By then, the body has often been compensating for years.
I am sharing this now because I have seen a different path, lived it for decades, and watched it become more important, not less, as life became fuller and more demanding.
This is not about perfection. It is about patterns.
Understanding the Problem, Not the Symptoms
From a first-principles perspective, burnout is not the problem. Chronic stress is not the problem. Weight gain, inflammation, fatigue, anxiety, and brain fog are not the problem.
They are signals or feedback asking us to pay attention because somehting is not right.
We live inside systems that reward output over capacity, speed over recovery, and constant availability over sustainability. Healthcare intervenes when something breaks, not when it begins to erode. Education prepares us to perform, not to maintain the physical and mental energy that performance requires.
Over time, these conditions shape behavior in predictable ways.
Rates of burnout continue to rise across professions. Lifestyle-related chronic disease affects a majority of adults in many countries. Stress-related disorders are increasingly common. These patterns are not the result of individual carelessness. They are the result of environments that quietly deplete energy faster than it can be restored.
People are not failing. They are adapting.
A Lifelong Relationship With Health
My relationship with health did not begin as a strategy. It began as a way of living.
I grew up in Eastern Europe, where food was simple, healthy and home cocked. We did not diet. I never heard of it. We moved naturally, spent time outdoors, and stayed engaged with our bodies as part of daily life. Health was not discussed as a goal. It was woven into how we lived.
When I moved to Miami in my twenties, I encountered a very different culture. I was struck by how often people talked about dieting, weight, and quick fixes. What had felt natural to me now seemed transactional.
In 2000, I made a quiet decision to take my physical health seriously as an adult. It started simply, with walking around the block. Walking became running. Running became training. Over time, strength work, mobility, and recovery became essential as my life and responsibilities expanded.
Over the years, I completed four marathons and multiple races. Each one happened at a different stage of life, under different professional and personal pressures. My first race was in 2001 and most recent marathon was in August 2025.
What matters is not the races themselves. It is the consistency and discipline it takes to show up for yourself because it matters.
What My Data Shows Over Time
To ground this in reality, I want to share my actual activity data from recent years, recorded through Garmin and Strava - just a simple screenshoot yearly overiew.
2023
I logged 516 hours of activity, covering 2,224.5 kilometers across 540 sessions, with 48 personal performance records.This was a high-volume year. It demanded attention to recovery and revealed the limits of doing more without recalibration.

2024
Activity volume decreased to 346 hours and 1,814.9 kilometers across 435 sessions.Consistency improved. Training became more intentional. Recovery became non-negotiable. The focus shifted from accumulation to sustainability.

2025
I logged 318 hours and 1,635.5 kilometers, completed a full marathon, raced multiple 10Ks, and maintained a VO₂ max of 45, placing me in the top five percent for my age.
What stands out is not decline, but refinement.

Volume went down. Stability went up. Recovery improved. Energy became more even. Performance stopped fluctuating.
The data reflects a simple truth. Capacity responds to inputs. When movement, nourishment, recovery, and regulation are aligned with the body’s needs, adaptation continues.
Learning to Work With the Body
Over the past five years, my body entered menopause, a stage of life many women are not prepared for and rarely supported through.
I did not approach this as something to endure. I approached it as something to understand.
Long-distance running decreased. Strength training increased. Mobility, joint health, and stability became priorities. Shorter, faster running replaced some endurance work. Walking in nature became a daily anchor, not for metrics, but for regulation and recovery.
Meditation and nervous system regulation became essential. Sleep became protected. I had to deepen my understanding of nutrition, not to restrict, but to support my body more intelligently. I no longer eat simply because I am hungry. I eat with awareness of what I am consuming, why, and how it affects my energy, mood, inflammation, and recovery.
Time in nature became non-negotiable. Daily exposure to natural environments helps me slow down, reflect, and reconnect. It regulates stress in ways no productivity tool ever could.
These changes are visible in the data. Lower volume did not reduce capacity. It increased alignment.
This is what accountability looks like to me. Not control, but attention. Not force, but learning.
The Myths That Keep Us Stuck
We are taught that decline is inevitable. That age dictates what is possible. That we need permission, credentials, or the perfect moment to change or to live our best life.
None of this holds up.
Neuroplasticity shows us that the brain remains capable of growth throughout life. Epigenetics shows us that how we live shapes how our genes express themselves. Adaptation does not disappear with age. It disappears when we stop supporting it.
There is no perfect time. There is no external permission required. Every stage of life offers information. The question is whether we pay attention.
Redefining Success From the Ground Up
Health is not one value among many. It is the foundation that allows every other value to be lived.
Without energy, clarity fades. Without clarity, purpose dissolves. Without recovery, even meaningful achievements become heavy.
This is why I do not frame health as wellbeing. I frame it as infrastructure.
Health first. Everything else follows.
When health is protected, work becomes sustainable. Leadership becomes embodied. Relationships deepen. Fulfillment becomes something you experience, not something you chase.
This is not about optimization. It is about responsibility.
Closing
When I strip everything back to first principles, one truth remains clear to me. Nothing meaningful can be built or sustained without health and vitality.
Not success. Not leadership. Not fulfillment.
Energy is the currency that makes all of it possible. It shapes how clearly we think, how patiently we respond, how creatively we solve problems, and how present we remain in our own lives.
What I hope this reflection shows, through lived experience and data, is that decline is not inevitable. Capacity does not disappear with age. Growth does not require permission.
A remarkable life is not built by pushing harder.It is built by protecting what allows us to endure.
And that begins with health.
