#866: Sami Inkinen of Virta Health — Reversing Type 2 Diabetes, Rowing 2,750 Miles, and Lessons from Fixing Metabolic Health in 100,000+ People
Sami Inkinen (@samiinkinen) is a Finnish-born, Stanford-trained entrepreneur and the founder and CEO/president of Trulia and Virta Health. Virta is on a mission to reverse metabolic disease in one billion people using technology, AI, and nutrition. A world-class endurance athlete, Sami is a triathlon age-group world champion and an 8-hour, 24-minute Ironman finisher, having completed the Hawaii Ironman World Championship seven times.
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DISCLAIMER:
The content of this episode is for informational purposes only. Neither Sami Inkinen nor Tim Ferriss is a medical professional, and nothing discussed here should be taken as medical advice or a substitute for consultation with a qualified healthcare provider.
Timestamps:
[00:00] Start.
[01:45] How Sami uses 15 minutes every Sunday to outrun the universe.
[03:37] Virta: at a thousand employees and counting.
[04:15] The 5 a.m. boot-up: cold lake, core work, and emptying the dishwasher.
[06:45] Why mood follows movement before the brain even boots up.
[11:54] Saying no to 99% of what “normal people” do.
[19:29] The weekly architecture.
[20:29] Two direct reports: the case for radical subtraction.
[21:09] 553 CEO letters and the case for one scalable habit.
[32:36] The text-file life plan.
[33:32] The 15-year personal plan Sami stumbled into by accident.
[34:30] The four-pillar formula for not cracking in 26 years of founder life.
[38:20] What “white Japanese people” and beer steins in saunas have in common.
[45:55] Smoke saunas, löyly, and the one Finnish word worth knowing.
[48:37] The lean, ten-percent-body-fat triathlete who was quietly going prediabetic.
[53:07] Why 93% of American adults are metabolically unhealthy.
[56:05] Reversing type 2 diabetes the way Virta actually does it.
[1:00:17] Most surprising interventions.
[1:03:32] The pancreatic cancer trial that bought patients 35% more time.
[1:07:02] The McDonald’s protocol: how to reverse diabetes from the drive-thru.
[1:16:00] Why GLP-1 adherence collapses and Virta’s doesn’t.
[1:21:10] Vegans, tofu, and the hardest macronutrient to get right.
[1:25:27] The dose-response curve that lets perfect stop being the enemy of progress.
[1:29:32] VO2 max blocks: how Sami trains an 80+ engine without burning out.
[1:41:56] Hacking 10% off your running speed in four weeks.
[1:46:09] Progressive overload, specificity, and the case against the long ride.
[1:50:07] 45 days, three hours, and a contract to keep a marriage afloat.
[1:55:27] The lightning strike in the middle of the Pacific that started a family.
[2:01:15] The 36-year-old who bought his first car only because his wife made him.
[2:05:40] The book recommendation no one saw coming: Trejo.
[2:07:51] The PSA: chronic, progressive, and irreversible — three words Sami refuses.
[2:11:40] Parting thoughts.
*
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20VC: Startups Only Fail When Founders Stop Trying, Why the Two Weeks Following Our IPO Were the Worst of my Life & Why Tieing Your Identity to Your Company is the Most Dangerous Thing and How to Avoid It with Sami Inkinen, Co-Founder & CEO @ Virta Health
Sami Inkinen is the Co-Founder and CEO of Virta Health, the company reversing type 2 diabetes. Before Virta, Sami was the Co-Founder of Trulia, steering the company to a successful IPO and its eventual sale to Zillow Group. Outside of the boardroom, he launched Fat Chance Row, a daring venture to row 2,750 miles across the Pacific, unsupported with his wife, rowing 18 hours straight per day.
In Today's Episode with Sami Inkinen:
1. From Farm in Finland to IPO Founder: Relationship to Money
How did Sami's humble upbringing on a farm in Finland impact his early mindset and ambition?
How does Sami analyze his relationship to money today? How has it changed over time?
Why was the two weeks following Trulia's IPO the worst two weeks of his life?
2. The Secret to Marriage: Rowing 2,750 Miles Together:
What are some of the biggest lessons on marriage Sami has from spending 45 days rowing the Pacific with only his wife for company?
What was their single biggest argument over the 45 days? What did Sami learn from it?
Sami worked with his wife, what are the biggest pros and cons of working with your spouse? Would Sami recommend it?
What does Sami believe are the core fundamentals that underpin the best marriages?
3. The Secret to Parenting: The Regret of Delegation:
What is Sami's biggest regret when it comes to parenting?
How does Sami think about what it means to be a great father today? How has that changed?
How did Sami's relationship with his wife change when they had kids?
4. Relationship to Identity:
Why does Sami believe tieing your identity to the company, as a founder, is so dangerous?
How does Sami advise on creating multiple personas to prevent this?
Why does Sami believe that all the best founders are addicts to some extent?
S23:E5 - Going from Ministry to Tech (Kyle Shevlin)
In this episode we sit down with Kyle Shevlin from Virta Health, who talks to us about his journey from ministry into tech. Kyle is a senior software engineer (JavaScript, React, and more) who spends his free time golfing, woodworking and playing video games. Hear as he describes his experience with ADHD in the workplace.
Show Links
Partner with Dev & CodeNewbie! (sponsor)
Justice Sensitivity
ADHD
jQuery
From Pastor to Programmer
Kyle Shevlin
Kyle Shevlin is a software developer that lives and works in wonderful Portland, Oregon.
He describes himself as a simple, Midwestern man who happens to be the forbidden lovechild between a Vulcan and a Viking. Make of that what you will.
He has a motto that is the driving force behind his work, “With all things, leave them better than you find them.” He sees something that could be better, he tries to find a way to make it better.
Lastly, lest you think of him as only a software developer. When he's not working, he's probably working on his golf game. He plays in tournaments all around the Pacific Northwest and occasionally even wins one once in a while. He has a nascent golf blog he's just getting started to share some of his insights into the game with others.
When he's not playing golf, you can probably find him playing video games with his wife 5 or having a good beer and food with some friends.
Recode Decode: Innovation in the midwest
Recode's Kara Swisher and her executive producer Erica Anderson talk with a panel of entrepreneurs in Valparaiso, Indiana: Sarah Hallberg, the Medical Director of Virta Health; Eric Christopher, the co-founder and CEO of Zylo; and Robin Fleming, the CEO of Anvl. They discuss the positives and negatives of being tech entrepreneurs in an area not typically associated with the digital revolution, including hiring and retention, the impact of local success stories that went global such as ExactTarget, and the challenges of attracting venture capital funding. Plus: What changes would have the most positive impact on Indiana's entrepreneurial scene?
Read a full transcript of this interview here.
Featuring:
Sarah Hallberg (@drsarahhallberg), Medical Director of Virta Health
Eric Christopher, co-founder and CEO of Zylo (@getzylo)
Robin Fleming, CEO of Anvl (@ANVLapp)
Hosts:
Kara Swisher (@karaswisher), Recode co-founder and editor-at-large
Erica Anderson (@EricaAmerica), executive producer
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20VC: Why CEOs Must Read Less & Listen Less, What VC Funding, Shelf Space & Time Have In Common & Why CEOs Must Look After Themselves Like Athletes with Sami Inkinen, Founder @ Virta Health & Trulia
Sami Inkinen is the Founder & CEO @ Virta Health, the startup on a mission to reverse type 2 diabetes for 100m people by 2025. They have raised over $35m in funding from the likes of Max Levchin, Ev William's Obvious Ventures, Paypal, Ray Tonsing @ Caffeinated Capital and previous 20VC guest, Bob Kocher @ Venrock. Previously, Sami was a co-founder, COO and President of Trulia until it's IPO and eventual sale for $3.6B. Sami, an avid athlete, is a triathlon world champion in his age group, and recently rowed across the Pacific Ocean from California to Hawaii unsupported with his wife at a record speed to raise awareness about healthy nutrition.
In Today's Episode You Will Learn:
1.) How Sami made his way into the world of startups, came to co-found Trulia and then realized his mission to reverse type 2 diabetes with Virta?
2.) Why does Sami disagree with conventional wisdom and say you learn "more from success than you do from failure"? What are the educational benefits of success that you do not get from failure? What did Sami learn from his Trulia journey?
3.) Why does Sami believe that CEOs should read less and listen less? What are the benefits to not empathizing extensively with the problems of the team? What operational structure must be in place for this level of management to occur?
4.) How does Sami compare VC funding to real estate mortgages? Why does Sami believe that it is always better to raise little? What is the one thing time, money and shelf-space all have in common?
5.) What does Sami mean when he says "CEOs must look after themselves like athletes"? What are Sami's top health and nutrition tips for founders and operators with hugely busy lives?
Items Mentioned In Today's Show:
Sami's Fave Book: Unbroken
As always you can follow Harry, The Twenty Minute VC and Sami on Twitter here!
Likewise, you can follow Harry on Snapchat here for mojito madness and all things 20VC.
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