As an exercise enthusiast, during my doctoral work at the University of Arizona I brought my love of exercise into my research where I started to look at exercise as medicine for those with cystic fibrosis. Once I graduated with my Ph.D. in Pharmaceutical Sciences I started with Mayo Clinic Rochester as a research fellow in the Human Integrative and Environmental Laboratory of Dr. Bruce Johnson. The research I have been involved with since coming to Mayo Clinic has really spanned the continuum from elite athletes and high altitude physiology to chronic conditions such as heart failure, pulmonary hypertension, COPD, and more recently POTS, ME/CFS and long COVID. In everything I do exercise is always involved. We utilize exercises as diagnostic tool by stressing the body to help detect subclinical pathology earlier to aid in disease prevention and management. We have been investigating different methods to monitor patients at home so that clinicians can be made aware of declines, decompensations or exacerbations. And we have been investigating how exercise can be utilized as medicine or an adjunct to improve symptoms and outcomes for patients.  Additionally, as part of my split research and clinical appointment as a senior associate consultant I see patients for exercise consultations.