April 8, 2026

PEPTIDES FOR RUNNERS: WHAT YOU NEED TO KNOW

PEPTIDES FOR RUNNERS: WHAT YOU NEED TO KNOW

What if the right peptides could be the secret to better sleep, faster recovery, and lasting health? We sit down with Dr. Micol Neely, who went from 15 years in the ER to building a concierge longevity clinic in Phoenix. She shares what COVID taught her about nutrient support, the burnout hidden in quick-fix medicine, and the real habits that move the needle: sleep, strength, inflammation control, and sustainable exercise. We also dive into brain health, psychedelics, ketamine for depression ...

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Season 1

What if the right peptides could be the secret to better sleep, faster recovery, and lasting health?

We sit down with Dr. Micol Neely, who went from 15 years in the ER to building a concierge longevity clinic in Phoenix. She shares what COVID taught her about nutrient support, the burnout hidden in quick-fix medicine, and the real habits that move the needle: sleep, strength, inflammation control, and sustainable exercise.

We also dive into brain health, psychedelics, ketamine for depression and PTSD, and how coaching and neuroplasticity matter as much as any treatment. Plus, we break down peptides, stacking strategies, and GLP-1 weight loss drugs like semaglutide, tirzepatide, and retatrutide, including why microdosing can improve body composition and reduce inflammation.

For honest, practical longevity medicine, subscribe, share with a friend, and leave a review.

Which topic are you most curious about: ketamine, peptides, or metabolic health?

00:00 - From ER Burnout To Wellness

06:45 - Franchise Debt And Business Blind Spots

14:20 - What A4M Conferences Actually Teach

20:45 - Brain Health Psychedelics And Ketamine

30:10 - Peptide Stacks For Recovery And Performance

40:45 - Cycling Protocols Flushing And Skin Reactions

50:55 - GLP-1 Drugs Retatrutide And Microdosing

01:00:40 - Inside A Functional Medicine Clinic

01:10:15 - ER War Stories And Where To Follow

WEBVTT

00:00:19.600 --> 00:00:20.719
Starts nervously.

00:00:21.039 --> 00:00:21.920
I trust you.

00:00:23.359 --> 00:00:25.039
Not sure I should, but I am.

00:00:25.359 --> 00:00:28.640
So you guys were talking about you moved here from Seattle or?

00:00:29.120 --> 00:00:30.719
I lived in Seattle for a little bit.

00:00:30.879 --> 00:00:31.120
Yeah.

00:00:31.199 --> 00:00:32.799
They asked when I came to Arizona.

00:00:33.039 --> 00:00:33.200
Okay.

00:00:33.359 --> 00:00:36.320
And I was here like 10 years and then up in Seattle for a little bit.

00:00:36.479 --> 00:00:36.719
Okay.

00:00:36.880 --> 00:00:39.520
Then I was in California with COVID.

00:00:39.679 --> 00:00:40.719
And then I came back here.

00:00:41.119 --> 00:00:41.359
Back here.

00:00:41.520 --> 00:00:41.679
Yeah.

00:00:42.240 --> 00:00:44.719
How long have you been here since California?

00:00:45.119 --> 00:00:46.320
Uh 2020.

00:00:46.399 --> 00:00:47.280
I moved back here.

00:00:47.840 --> 00:00:51.600
And I have a little like functional medicine practice right by Encanto Park.

00:00:51.920 --> 00:00:52.159
Okay.

00:00:52.240 --> 00:00:52.399
Okay.

00:00:53.119 --> 00:00:53.359
Yeah.

00:00:54.079 --> 00:00:56.159
And you were ER doc before?

00:00:56.560 --> 00:00:56.799
I was.

00:00:56.880 --> 00:00:57.039
Yeah.

00:00:57.119 --> 00:00:58.479
I did 15 years ER.

00:00:58.640 --> 00:00:58.799
Okay.

00:00:58.960 --> 00:01:09.280
And then I was telling them like through COVID, like it was amazing because we took this little dumpy psych unit that was supposed to be torn down and we just took all the overflow.

00:01:09.439 --> 00:01:09.519
Okay.

00:01:09.920 --> 00:01:12.000
And California didn't want to know what to do.

00:01:12.079 --> 00:01:13.760
So they're like, just keep them alive.

00:01:14.000 --> 00:01:18.799
And one of the docs that I worked with did concierge like IV vitamins.

00:01:19.280 --> 00:01:23.920
And um, so we started doing like the monoclonal antibody.

00:01:24.000 --> 00:01:26.239
We started doing some high-dose vitamin C.

00:01:26.480 --> 00:01:28.159
We did a lot with vitamin D.

00:01:28.319 --> 00:01:28.640
Yeah.

00:01:28.799 --> 00:01:34.319
Um, and it was just amazing the difference in people and how well they responded to to just vitamins.

00:01:34.400 --> 00:01:36.159
And I was like, I want to do this.

00:01:36.319 --> 00:01:37.519
I'm tired of the ER.

00:01:37.760 --> 00:01:39.519
So I I did.

00:01:40.239 --> 00:01:51.519
There are a lot of people from ER transitioning into well, it's all different aspects, even like pain, pain mean management, anesthesia, ER.

00:01:52.480 --> 00:01:58.000
I have a friend that like I I always go and talk about like peptides and everything.

00:01:58.079 --> 00:02:08.719
And yeah, I've gotten a few people, a few physician friends to go into longevity medicine and concierge medicine over from you know, even pathology and stuff.

00:02:08.800 --> 00:02:10.240
They're like, all right, I'm tired of this.

00:02:10.800 --> 00:02:12.319
But there are a lot from the ER.

00:02:12.400 --> 00:02:12.639
Yeah.

00:02:12.800 --> 00:02:15.360
I think our brains just get one, we get burned out.

00:02:15.599 --> 00:02:15.759
Yeah.

00:02:15.840 --> 00:02:16.159
Oh, yeah.

00:02:16.400 --> 00:02:17.439
It's really easy to burn out.

00:02:18.080 --> 00:02:26.400
Then people don't they're like, you're seeing those patients for like 12 hours, even though it's like 12, 13 days a week or a month.

00:02:26.639 --> 00:02:27.759
It's crazy.

00:02:27.840 --> 00:02:28.560
Like the amount of things.

00:02:28.719 --> 00:02:31.439
I was gonna say we gotta dive deep in your regiment.

00:02:32.400 --> 00:02:36.159
You spent 15 years in the ER and still look this good and young.

00:02:36.400 --> 00:02:46.000
So ER years are almost like dog years, like people age more in the ER than like the the presidency photos you see like every four years.

00:02:46.400 --> 00:02:46.560
Yeah.

00:02:46.719 --> 00:02:48.800
Oh, getting out of the ER really helped.

00:02:48.879 --> 00:02:49.120
Yeah.

00:02:49.759 --> 00:02:50.400
Yeah.

00:02:50.960 --> 00:02:59.919
So what other than um how did you transition over to doing wellness from I kind of learned it on my own.

00:03:00.159 --> 00:03:01.759
Like I did a lot with A4M.

00:03:01.840 --> 00:03:02.080
Yeah.

00:03:02.240 --> 00:03:04.400
Um like I just went to their conference in December.

00:03:04.560 --> 00:03:04.879
Yeah.

00:03:05.120 --> 00:03:07.919
Um, I started picking other doc's brains.

00:03:08.159 --> 00:03:15.360
Like even in COVID, yeah, um, I got my MBA while I was there because I was ready to quit medicine, honestly.

00:03:15.520 --> 00:03:16.800
I was like, I'm I'm done.

00:03:17.120 --> 00:03:17.520
Anything.

00:03:19.120 --> 00:03:20.800
So I was like, I'll do business.

00:03:20.879 --> 00:03:21.759
That sounds like fun.

00:03:22.319 --> 00:03:27.919
Um, but then it kind of morphed into, well, I'll do business, but I'll use medicine as my business.

00:03:28.639 --> 00:03:34.560
And so um, yeah, talking to people, I made a huge business mistake.

00:03:34.800 --> 00:03:39.280
My first step out is I actually bought into a franchise.

00:03:39.439 --> 00:03:39.759
Okay.

00:03:40.080 --> 00:03:45.199
And it was it it always seems it's it seems a lot better than it is.

00:03:45.439 --> 00:03:45.599
Yeah.

00:03:46.000 --> 00:03:46.159
Yeah.

00:03:46.319 --> 00:03:46.560
Yeah.

00:03:46.719 --> 00:03:46.879
Yeah.

00:03:47.120 --> 00:03:49.919
And it was, I was like not supported.

00:03:50.000 --> 00:03:52.240
They had me set things up horribly.

00:03:52.400 --> 00:03:54.879
It was a lot of aesthetics and a lot on group on.

00:03:55.280 --> 00:03:56.879
I'm like, this is not what I wanted to do.

00:03:57.039 --> 00:03:57.280
Yeah.

00:03:57.520 --> 00:03:57.759
Okay.

00:03:58.000 --> 00:03:58.240
Yeah.

00:03:58.400 --> 00:04:00.319
So I was paying people to come see me.

00:04:02.159 --> 00:04:03.919
Yeah, that that's the thing.

00:04:04.159 --> 00:04:18.319
Like, I being in plastics, you just automatically get tossed into it, which is kind of nice because you get your entrepreneurial aspect, especially when you're in private practice rather than academic.

00:04:18.720 --> 00:04:26.639
So we kind of get that, and it kind of fits into like when you go do longevity and wellness, it kind of fits into that model.

00:04:26.800 --> 00:04:32.959
And yeah, I've I've looked at a lot of these, and it's like all these wellness places, they're looking to franchise.

00:04:33.040 --> 00:04:38.319
They're like, Oh yeah, we'll buy you a red light bed and a hyperbaric and like get you set up.

00:04:38.480 --> 00:04:40.639
You just have to pay this franchise fee.

00:04:41.040 --> 00:04:51.759
But yeah, overall, I'm like, uh, it's kind of a lot of it looks fishy, and like how are they gonna get are they gonna get you patients or how are you gonna thrive in that atmosphere?

00:04:52.000 --> 00:04:56.079
Yeah, it all it did was really get me uh a lot of debt.

00:04:56.399 --> 00:05:00.639
Yeah, but I learned a lot and I tend to learn things the hard way in my life.

00:05:00.800 --> 00:05:01.600
So like all right.

00:05:05.439 --> 00:05:14.879
Doing something like that's like bad investment or devastating to what you hold later on in your career than like extending your career like 10, 15 more years.

00:05:15.040 --> 00:05:18.639
Yeah, like our younger brother, he's in academic neurosurgery.

00:05:18.879 --> 00:05:21.040
I knew I was gonna set something wrong.

00:05:22.959 --> 00:05:31.600
So, like our younger brother, he's been stuck in academic neurosurgery for so long and he's been waiting for a promotion, and we're like, You're not gonna get it, dude.

00:05:31.680 --> 00:05:37.839
And he's like he gets little promotions, but it's like uh yeah, for what he went through as well.

00:05:38.000 --> 00:05:58.560
So yeah, so a lot of people get stuck in that route for like 10, 15 years, and then they finally get out on their own and they really figure out like I I got that told multiple times by multiple attendings to me, where I was like, and I trained in like a private private practice academic sort of thing.

00:05:58.879 --> 00:06:03.759
So it kind of taught me the hustle, and it was in New York, so it taught me the hustle even more.

00:06:04.000 --> 00:06:04.319
Yeah.

00:06:04.560 --> 00:06:11.360
Then you know, you go to a lot of these academic places and they teach you how to hate private practice.

00:06:11.839 --> 00:06:30.480
So they don't teach you how to like get your feet in the ground, and then a lot of young plastic surgeons or like just physicians in general, get out and they join like a bigger practice or some old guy that just completely like like makes them hate life and not want to do medicine, right?

00:06:30.560 --> 00:06:32.560
Yeah, yeah, it's just business management.

00:06:32.639 --> 00:06:34.319
You're never taught that in residency.

00:06:34.480 --> 00:06:45.279
Business management is never even in plastics where like everybody's doing it, nobody wants to give away their secret or something, or just like have a couple lectures throughout the year.

00:06:45.680 --> 00:06:53.839
It should be, it should be included in and so just like nutrition and vitamin should be included, and they're not nutrition, vitamin, hormones, yeah.

00:06:54.560 --> 00:07:10.399
It's all like especially like in the surgical fields, like learn how to help your patients post opt, yeah, uh reduce their risk of complications and like recovery is so important, it's probably bigger part of the picture than the actual surgery, yeah.

00:07:10.639 --> 00:07:13.920
And even like for us, it's like patients coming in, right?

00:07:14.079 --> 00:07:36.160
Like come in with high BMIs, like some patient some people will operate on them, but I'm like, it's not a long-term result that you're getting with if we're not balancing everything out and making your life better beforehand, and and you're gonna end up at the same place like two or three years down the line, wishing you'd never done it before.

00:07:36.480 --> 00:07:39.759
But we want you to be happy with what you did.

00:07:40.240 --> 00:07:49.920
So A4M, I I do a lot of the A4M stuff and like I I can't I can't go I can't go straight to the lectures.

00:07:50.240 --> 00:07:57.759
I need to listen to things two or three times, 3x speed to actually like be able to pay attention to it.

00:07:58.079 --> 00:08:01.279
But like I go there for the vendors.

00:08:01.360 --> 00:08:07.199
I went last year, I this year I had a lot of stuff going on, so I couldn't make it, but yeah, it is a great conference.

00:08:07.360 --> 00:08:08.800
You learn so much from it.

00:08:09.199 --> 00:08:10.639
I I'm the same.

00:08:10.720 --> 00:08:15.120
Like honestly, I go to the conferences to meet people and like pick their brains.

00:08:15.279 --> 00:08:21.839
Yeah, I think I learn more at the conferences from like sitting in the lounges and yeah, talking with people and making new connections.

00:08:21.920 --> 00:08:24.560
Yeah, and then I just get the lectures and I listen to them later.

00:08:24.800 --> 00:08:25.920
Yeah, that on demand.

00:08:27.839 --> 00:08:29.120
Oh yeah, yeah, yeah.

00:08:29.360 --> 00:08:34.879
Yeah, it's like just I I'm like, do these people really talk this slow?

00:08:35.039 --> 00:08:39.600
You know, like when you're like listening to it, I'm like, you know, when you have it hyper speed.

00:08:39.840 --> 00:08:50.000
So what are some of the like key things like you learned this year going to it, like that you know, that you didn't know before?

00:08:50.960 --> 00:08:59.519
So I am completely fascinated with the brain right now and how our brain health like plays into longevity.

00:08:59.600 --> 00:08:59.759
Yeah.

00:08:59.919 --> 00:09:06.000
So I really enjoyed learning some of the studies they're doing with like psychedelics and brain health.

00:09:06.240 --> 00:09:06.480
Okay.

00:09:06.720 --> 00:09:09.120
Um I've been doing those studies since high school.

00:09:09.440 --> 00:09:17.519
I a lot of people have, and I I think we would have a bigger coreho, corehoot if people would like be open about it.

00:09:18.399 --> 00:09:21.039
But yeah, no, Harvard's doing a lot right now.

00:09:21.200 --> 00:09:24.399
Um, and so that was really fascinating to me.

00:09:24.799 --> 00:09:30.720
Anything specific about that, like specific type of psychedelics and for what they were being used for?

00:09:30.960 --> 00:09:37.919
Um so a lot are being used for more like um resistant depression, PTSD.

00:09:38.240 --> 00:09:41.679
I don't know exactly which which strain of mushrooms or anything.

00:09:42.000 --> 00:09:45.519
No, no, I I know that, but I I don't know anything about that either.

00:09:45.759 --> 00:09:49.679
But um is it just mushrooms or is there anything on ketamine?

00:09:50.159 --> 00:09:51.120
A lot on ketamine.

00:09:51.360 --> 00:09:53.600
I actually have just added ketamine into my prototype.

00:09:53.919 --> 00:09:54.240
Nice, yeah.

00:09:54.320 --> 00:09:57.120
Um I did a journey last year.

00:09:57.279 --> 00:09:59.120
Um, it was really healing.

00:09:59.279 --> 00:10:04.559
Um, and I think ketamine works really similar to the psychedelics because it raises like BDNF.

00:10:04.639 --> 00:10:04.799
Yeah.

00:10:05.039 --> 00:10:10.480
Um, so you create these new neuropathways and you know the hot topic of neuroplasticity.

00:10:10.559 --> 00:10:10.879
Yeah.

00:10:11.039 --> 00:10:14.000
Um, but it really was like a reset button.

00:10:14.159 --> 00:10:22.480
Um kind of takes you out of sometimes like a negative train of thought and let you like reformulate how that works in your brain.

00:10:22.559 --> 00:10:23.679
It's like the guided trip.

00:10:23.840 --> 00:10:24.080
Yeah.

00:10:24.480 --> 00:10:27.279
Did you do a single thing or was it like few?

00:10:27.519 --> 00:10:30.000
Do you have to do like a cycle of I guess?

00:10:30.480 --> 00:10:31.759
I did mine a single.

00:10:31.919 --> 00:10:32.320
Oh yeah.

00:10:32.480 --> 00:10:35.039
And then it was like a month of coaching afterwards.

00:10:35.679 --> 00:10:39.279
Um, and I'm doing like training through conscious ketamine.

00:10:39.519 --> 00:10:39.759
Okay.

00:10:39.840 --> 00:10:42.639
Um, and that's more kind of the model for that.

00:10:42.799 --> 00:10:43.120
Yeah.

00:10:43.279 --> 00:10:45.120
Um, I've also um Dr.

00:10:45.279 --> 00:10:50.639
James is in Scottsdale, and he does more of the IV and does like six IV treatments in a row.

00:10:50.799 --> 00:10:50.960
Yeah.

00:10:51.120 --> 00:10:52.399
Um and then you meet with a coach.

00:10:53.360 --> 00:10:56.159
I think it varies depending on what he's treating.

00:10:56.320 --> 00:11:00.240
Um, and like he'll meet with the patient and kind of figure out a program.

00:11:00.559 --> 00:11:04.080
Yeah, it's usually I think like a lot of people just go and try it out.

00:11:04.159 --> 00:11:16.639
Like if you got just something you want to get over, but if you got like PTSD or depression or something, you need to go for a line of yeah, and if you're specifically treating something, yeah, it's yeah.

00:11:17.120 --> 00:11:24.000
You might actually some of the studies show that it has like uh one-time dose has like long-term effects for like PTSD and stuff.

00:11:24.159 --> 00:11:35.840
Yeah, yeah, but that's probably how they dose how they but you need the it's it's the cognitive aspect, um, like behavioral therapy around it during that trip.

00:11:36.320 --> 00:11:48.559
Yeah, because like I was looking at doing a one of the anesthesiologists we use quite often were and my wife's an anesthesiologist, but I can't get her to she doesn't want to see.

00:11:48.879 --> 00:11:52.399
She doesn't want to see patients really, she likes just putting them to sleep.

00:11:52.480 --> 00:11:57.759
So I'm like, we we gotta start doing this because it it's like becoming more and more popular.

00:11:57.919 --> 00:11:58.000
Yeah.

00:11:58.240 --> 00:11:59.279
More and more people are doing it.

00:11:59.679 --> 00:12:00.399
Like five years ago.

00:12:00.559 --> 00:12:00.720
Yeah.

00:12:00.960 --> 00:12:01.840
And I think it works.

00:12:02.000 --> 00:12:13.200
Like, I think it actually what's your other option for like uh any type of like drug-resistant, like severe mental health disorders, electric shock therapy.

00:12:13.440 --> 00:12:13.759
Exactly.

00:12:14.159 --> 00:12:15.360
Like pretty much a walking vegetable.

00:12:15.600 --> 00:12:16.720
TMS, I think, works.

00:12:18.159 --> 00:12:21.200
Like ETL just came out with the ExoMind.

00:12:21.279 --> 00:12:24.399
Yeah, and I would love that machine and combine that TMS.

00:12:24.879 --> 00:12:28.240
I was trying to buy that for myself, not like just to try it out.

00:12:28.399 --> 00:12:31.840
Yeah, but I was like, all right, that's a too much for yeah.

00:12:32.480 --> 00:12:34.879
I was about to buy it and come to my clinic.

00:12:35.120 --> 00:12:36.080
Yeah, yeah.

00:12:36.639 --> 00:12:38.240
What does TMS stand for?

00:12:38.559 --> 00:12:39.919
Oh, uh I don't know.

00:12:40.399 --> 00:12:43.200
That would be a good question that I should be able to answer.

00:12:44.000 --> 00:12:44.639
Bring the reps.

00:12:45.519 --> 00:12:47.039
It's like let me dial the reps.

00:12:47.440 --> 00:12:50.000
It's almost like you know waves through your brain.

00:12:50.080 --> 00:12:50.799
Yeah, yeah, yeah.

00:12:50.960 --> 00:12:54.320
Almost yeah, pretty, you know, you have examine.

00:12:54.960 --> 00:12:58.639
Yeah, but it's pretty much like m sculpt for your brain.

00:12:58.879 --> 00:13:05.519
Oh, so it stimulates that left prefrontal cortex and just helps create new neuropathways again.

00:13:05.759 --> 00:13:06.000
Yeah.

00:13:06.240 --> 00:13:06.559
Yeah.

00:13:06.799 --> 00:13:10.960
So but yeah, they charge like I think it's$300,000.

00:13:11.200 --> 00:13:12.240
The examine, right?

00:13:12.320 --> 00:13:12.799
Yeah, yeah.

00:13:13.120 --> 00:13:14.320
It's like$300,000.

00:13:14.799 --> 00:13:16.159
And we have the M sculpt.

00:13:17.200 --> 00:13:23.120
And like, yeah, they you kind of so I just use the M sculpt and zap my head once in a while.

00:13:23.360 --> 00:13:24.159
We have the M Cela.

00:13:24.399 --> 00:13:26.559
I've tried lay laying my head on it, it doesn't work.

00:13:27.600 --> 00:13:28.399
You gotta sit on that.

00:13:29.120 --> 00:13:31.200
It's you gotta do full-on headstands on it.

00:13:31.840 --> 00:13:34.159
Yeah, it's yeah, we have the M Cella too.

00:13:34.240 --> 00:13:42.080
It's like they kind of, you know, they're like, oh no, you should be selling the and like you're like, all right, the there's no ROI.

00:13:42.159 --> 00:13:45.440
The only ROI is I get a six pack when I go to the beach.

00:13:45.679 --> 00:13:47.360
Yeah, that's the only thing.

00:13:47.519 --> 00:13:52.960
Like otherwise it's a great machine, but I I don't know.

00:13:53.120 --> 00:13:58.080
We don't want to mark you know to market it and then everyone's just bringing other stuff, yeah.

00:13:58.159 --> 00:14:00.000
Like if we can be a gamma last leader.

00:14:00.320 --> 00:14:04.000
We just include it in some other packages and stuff.

00:14:04.559 --> 00:14:07.519
Um just like our hyperbarracks, red light.

00:14:08.000 --> 00:14:12.240
Those actually the return on investment on those have been great.

00:14:12.480 --> 00:14:14.720
Yeah, uh the best ones.

00:14:15.120 --> 00:14:18.480
Um they'll pretty much pay themselves off in less than a year.

00:14:18.799 --> 00:14:30.879
Yeah, because the laser all the laser companies, they went from having hundred thousand, you know, fifty to a hundred thousand dollar machines, they all of a sudden, like even before inflation hit, they went up to three hundred thousand dollars.

00:14:31.360 --> 00:14:31.759
They're crazy.

00:14:32.000 --> 00:14:46.080
You know, when I think Cool Sculpt was the first one that like really like pushed that push that limit and see how much they could collect from physicians, and yeah, but like everyone undercuts themselves and then they sit in the laser graveyard, you know.

00:14:46.320 --> 00:14:48.320
And that was one of my big mistakes of the franchise.

00:14:48.399 --> 00:14:49.600
They're like, Oh yeah, get that.

00:14:49.759 --> 00:14:50.799
And then I bought into it.

00:14:50.879 --> 00:15:00.080
I'm like, well, look, I I can make payments on it, and I'll bring this much more in, it'll help me speed up and you're not putting anything in and just making payments.

00:15:01.120 --> 00:15:08.720
Six months you don't make it, you don't make any payments, and by the time you're making payments, you already have and will help with your marketing.

00:15:09.440 --> 00:15:09.919
Yeah.

00:15:10.159 --> 00:15:12.320
Oh, it's only seven thousand dollars of treatment.

00:15:12.480 --> 00:15:14.000
Oh, everyone's charging that.

00:15:14.240 --> 00:15:18.879
We have we have very limited devices, especially for a plastic surgery clinic.

00:15:19.039 --> 00:15:26.000
Like uh because that's why we've div dove more into wellness because it's just much better.

00:15:26.399 --> 00:15:29.200
And also, we don't really need staff.

00:15:29.279 --> 00:15:32.639
You you know, you need an aesthetician for a lot of these other things, yeah.

00:15:32.879 --> 00:15:46.799
And it's like the aestheticians are like huge turnover, they they jump from clinic to clinic, and like a lot of them well, you know, even when we interview for other positions, everyone's an aesthetician too.

00:15:46.960 --> 00:15:58.480
Yeah, and and we tend to not interview estheticians because we they don't last long, no, and they always think they're gonna become the esthetician for the practice since we're plastics and we're like uh not so much.

00:15:58.960 --> 00:15:59.919
We don't really promote that.

00:16:00.240 --> 00:16:01.519
Do you do IVs?

00:16:02.080 --> 00:16:02.480
We don't.

00:16:02.559 --> 00:16:15.120
I've I actually did an IV and I was given IV post op to one of my post op patients, she's a week out, and couldn't get a vein on her, so I was like, Oh, I'll take the IV.

00:16:15.279 --> 00:16:20.240
So I I started doing it on myself so we could start it in clinic in our clinic.

00:16:20.480 --> 00:16:22.879
We'll start doing it as our surgery center opens up.

00:16:23.039 --> 00:16:24.000
We'll do more and more of it.

00:16:24.240 --> 00:16:24.639
Nice, yeah.

00:16:24.879 --> 00:16:27.759
And it seems like with plastic, peptides would work really well too.

00:16:28.000 --> 00:16:40.399
Yeah, so yeah, we already have like the supplement package that we give all our patients post op, and part of it's the Wolverine stack to help with the healing process.

00:16:40.639 --> 00:16:46.240
And a lot of people like love it so much they're on it for at least three to six months post-op.

00:16:46.639 --> 00:16:48.000
So it's one of my favorite.

00:16:48.159 --> 00:16:48.399
Yeah.

00:16:48.559 --> 00:16:51.519
I used it after my um I did an ultra marathon.

00:16:51.600 --> 00:16:54.399
Yeah, and I really did you get lost?

00:16:54.639 --> 00:16:57.200
Uh no, I was just being stubborn.

00:16:58.320 --> 00:16:59.200
Where was it at?

00:16:59.360 --> 00:17:01.039
I did the Havelina hundreds.

00:17:01.360 --> 00:17:01.679
Yeah.

00:17:02.159 --> 00:17:03.039
We were talking about it.

00:17:03.200 --> 00:17:09.359
I just it that was I so I did my ketamine journey and then I did the 100 mile race.

00:17:09.680 --> 00:17:11.599
Oh, so the ketamine got you lost.

00:17:12.799 --> 00:17:13.759
But it was fantastic.

00:17:16.480 --> 00:17:17.200
I'm kidding.

00:17:17.279 --> 00:17:23.680
Um, but no, I think I recovered so much better by using peptides afterwards because did you do oral or injectable?

00:17:23.920 --> 00:17:24.319
Injectable.

00:17:24.559 --> 00:17:25.200
Injectable, yeah.

00:17:25.680 --> 00:17:30.000
I feel like I get less sore after workouts and stuff with even the oral stuff.

00:17:30.240 --> 00:17:32.400
The injectable definitely works better.

00:17:32.799 --> 00:17:35.039
I've been anti-oral until recently.

00:17:35.359 --> 00:17:36.960
Melts, they're a local company.

00:17:37.119 --> 00:17:37.519
Yeah, okay.

00:17:37.680 --> 00:17:42.000
And they just came out with like one that's um, they make trochies, yeah.

00:17:42.160 --> 00:17:43.119
Yeah, okay.

00:17:43.440 --> 00:17:45.200
And I really like it.

00:17:45.519 --> 00:17:48.720
There's some some of the sublingual ones work pretty well.

00:17:48.880 --> 00:17:55.440
I I've used different, I've used AOD, oxytocin, um what else?

00:17:55.680 --> 00:18:03.519
Uh I I've used a bunch of them that are sublingual from different like Progress Pharmacy, Grand Avenue, um, that are pretty good.

00:18:03.680 --> 00:18:11.039
They even oxandrolone comes troche form, which is more on the uh anaerobics.

00:18:11.680 --> 00:18:13.599
But um, that works pretty well.

00:18:14.240 --> 00:18:16.799
Uh but yeah, there's a lot of them.

00:18:16.880 --> 00:18:20.160
Uh the company we use is Level Up, it's based out of Australia.

00:18:20.799 --> 00:18:31.440
The guy seems the owner is like really into it, and like I think he formulates these stuff pretty pretty strong in like I I think in ways where it's bioavailable.

00:18:31.519 --> 00:18:35.119
If it's not bioavailable and not making a difference, he's not using it.

00:18:35.279 --> 00:18:41.680
And one of the like our younger brother, he has a lot of um inflammation just in general all the time.

00:18:41.839 --> 00:18:42.240
I don't know.

00:18:42.319 --> 00:18:42.799
He's stepping up.

00:18:43.039 --> 00:18:44.160
Sounds like the stressed out one.

00:18:44.880 --> 00:18:48.400
He's not actually, he's one of the ophthalmologists, chill one.

00:18:48.559 --> 00:18:51.920
Yeah, like doesn't like working more than 20 hours a week.

00:18:52.160 --> 00:18:57.200
Uh but he stepped on a bunch of sea urgents down in um St.

00:18:57.359 --> 00:19:00.000
Martin and had like an anaphylactic reaction.

00:19:00.160 --> 00:19:03.039
And ever since then, he's just been like hyper-inflamed.

00:19:03.119 --> 00:19:09.519
Like for the longest time, he had a spit bottle, yeah, and like he takes like immunoglobulins and stuff.

00:19:09.759 --> 00:19:21.599
Yeah, he was taking allergy shots, and like he actually we actually kicked him out of our house because he like we're like, dude, we can't live with someone hacking up like in the middle of the night.

00:19:21.680 --> 00:19:24.160
We're like, we gotta get our rest, especially with kids.

00:19:24.720 --> 00:19:30.720
Other brother, and I remember discussing about him, and we're like, I think at this point it's mental.

00:19:30.880 --> 00:19:33.279
This guy's just coughing for the sake of coughing.

00:19:33.359 --> 00:19:34.880
I don't think he has symptoms.

00:19:35.039 --> 00:19:36.559
He feels the need to do it.

00:19:36.640 --> 00:19:39.599
There's no way somebody needs to cough this much.

00:19:39.839 --> 00:19:43.359
Yeah, because he started, he took the Wolverine stack, he took the oral form.

00:19:43.599 --> 00:19:54.000
He's like immediately he's like he got energized, and like um, he's like it felt like the inflammation and everything went way down.

00:19:54.240 --> 00:19:56.319
He stopped doing his allergy shots and stuff.

00:19:56.400 --> 00:19:58.000
He's like, I don't think I need them anymore.

00:19:58.480 --> 00:20:00.880
And the other thing that's dropped down gradually though, yeah.

00:20:02.160 --> 00:20:08.480
Yeah, and then now he like he goes on and on like methylene blue is a little strong for him.

00:20:08.559 --> 00:20:10.960
So he I don't know, he took the 25 milligram.

00:20:11.200 --> 00:20:14.960
He's like, I think I gotta cut this down because it gives me migraines.

00:20:15.039 --> 00:20:21.599
It all uh almost helps him a little too much, so he's like trying to cut down the dose when he's taking it.

00:20:21.759 --> 00:20:28.960
So um yeah, I'm trying to come out with a trokey, I'm working on it with different compound farms and see who can make it for me.

00:20:29.279 --> 00:20:43.759
And I'm huge into the brain health, and uh because like I got my like weight loss, then fitness, and then like once like everything was lined up, I'm like, I want a like super functioning brain.

00:20:43.839 --> 00:20:52.079
Since we're operating, I just want to be next level when I'm operating, just to be able to think better, just better results and overall.

00:20:52.400 --> 00:20:55.519
Um, and so I like take different steps.

00:20:55.839 --> 00:20:57.920
You're getting ready to compete for a math conference?

00:20:58.160 --> 00:20:59.680
Have you done cereal lysin?

00:21:00.079 --> 00:21:01.599
I haven't done cerebral lysin.

00:21:01.839 --> 00:21:06.079
Just I'm really I was kind of is that it's it's IV.

00:21:06.319 --> 00:21:06.720
IV, yeah.

00:21:07.039 --> 00:21:07.440
IV.

00:21:07.920 --> 00:21:12.799
The whole thing that scared me with the uh I've thought about it.

00:21:12.880 --> 00:21:16.319
You can't you can't really find a a lot of the compound pharmacies.

00:21:16.799 --> 00:21:17.839
Yeah, I love it.

00:21:18.000 --> 00:21:18.559
Yeah, yeah.

00:21:18.880 --> 00:21:20.079
How how did it help?

00:21:20.160 --> 00:21:21.599
How did it change, you know?

00:21:22.160 --> 00:21:29.599
So like I read on it and I was like, okay, I I think there's enough evidence that it will help like prevent early dementia.

00:21:29.680 --> 00:21:34.079
And that's one of my big fears is I don't I'm not afraid to age because I think I can do it well.

00:21:34.319 --> 00:21:36.880
You're fearing, but I'm worried about losing my brain.

00:21:37.039 --> 00:21:38.559
Yeah, it runs in my family.

00:21:38.720 --> 00:21:41.839
I saw my grandfather go through it, and I'm like, It's brutal.

00:21:42.000 --> 00:21:44.000
I've put way too much work into my brain to lose it.

00:21:44.079 --> 00:21:44.559
Yeah, yeah.

00:21:44.880 --> 00:21:46.720
So I decided I'd try it.

00:21:46.799 --> 00:21:47.119
Yeah.

00:21:47.440 --> 00:21:56.640
And I'm telling you, I was the most calm, and like my brain, I could physically feel my brain working better.

00:21:56.720 --> 00:21:56.960
Yeah.

00:21:57.119 --> 00:21:59.279
Um, for about a month after I did it, IV.

00:21:59.519 --> 00:22:03.200
That's like The only like peptide that I haven't tried.

00:22:04.160 --> 00:22:04.960
I'll say that again.

00:22:05.119 --> 00:22:05.359
Yeah.

00:22:05.519 --> 00:22:07.839
Um, because right now I'm even on cloth.

00:22:08.480 --> 00:22:08.880
Oh, okay.

00:22:09.519 --> 00:22:11.440
Try to see how that works.

00:22:11.759 --> 00:22:13.359
Is that Spanish for cloth?

00:22:13.680 --> 00:22:13.920
No.

00:22:14.400 --> 00:22:14.720
Okay.

00:22:15.920 --> 00:22:18.160
Jose, resident Spanish expert.

00:22:18.640 --> 00:22:19.839
Can you confirm?

00:22:23.519 --> 00:22:25.119
What's your favorite peptide?

00:22:25.359 --> 00:22:26.480
Uh if we've tried the one.

00:22:26.799 --> 00:22:28.640
Oh, there's like a hundred weight tie for him.

00:22:28.960 --> 00:22:31.359
So all the hundred I take are fantastic.

00:22:31.920 --> 00:22:32.960
I've liked sloop.

00:22:33.039 --> 00:22:34.480
I think sloop works great.

00:22:34.640 --> 00:22:37.519
Um, that's SLU PP332.

00:22:37.759 --> 00:22:40.880
Um it's almost like workout in a bottle type of thing.

00:22:41.039 --> 00:22:48.720
Um right now I take sloop, tesamorlin, tesamorlin, epimorlin uh for weight loss, muscle gain.

00:22:48.880 --> 00:22:51.200
Um I think is excellent.

00:22:51.839 --> 00:22:53.680
BPC and then epithalon.

00:22:53.759 --> 00:22:58.960
Epithalon's like up there all the time, especially when I see my sleep dwindling.

00:22:59.200 --> 00:23:02.960
I, you know, I'm like, all right, I do like a 10-day cycle of it.

00:23:03.119 --> 00:23:03.279
Yeah.

00:23:04.079 --> 00:23:08.319
My my wife uses mine are the essential amino acids.

00:23:08.480 --> 00:23:10.480
Those are my favorite because my body needs it.

00:23:10.799 --> 00:23:11.440
Yeah.

00:23:11.920 --> 00:23:13.200
They're essential.

00:23:14.240 --> 00:23:16.319
Don't ask medical jokes.

00:23:16.480 --> 00:23:17.279
Sorry.

00:23:18.799 --> 00:23:19.839
I don't know about it.

00:23:21.119 --> 00:23:21.680
All right.

00:23:22.400 --> 00:23:23.519
Um, how about yours?

00:23:23.680 --> 00:23:27.039
Like, what do you I thought you never asked?

00:23:28.079 --> 00:23:34.480
I do love the glow stack, so like the GHKCU, BPC, TB500, and I like it with KPV.

00:23:34.640 --> 00:23:34.799
Yeah.

00:23:34.960 --> 00:23:36.880
I think it just brings down inflammation so well.

00:23:37.039 --> 00:23:38.400
I love Tesla Morlin.

00:23:38.880 --> 00:23:43.680
Um, because being a runner, like I also love lifting because I want to maintain my muscle.

00:23:44.000 --> 00:23:46.720
And I think Tesla Morlin works really well for women.

00:23:46.799 --> 00:23:47.039
Yeah.

00:23:47.200 --> 00:23:52.240
Um, especially I think it balances hormones and mood and sleep.

00:23:52.400 --> 00:23:57.440
So and that's what epithalon, I think, does a real good job at balancing hormones too.

00:23:57.759 --> 00:23:58.720
I think for females.

00:23:58.880 --> 00:24:12.240
I I think like also again, sleep, focus, and like just and overall it's probably balanced out the hormones that's I've used it, but I used it similar timing to the zebra lysin, so maybe it was a combo of that.

00:24:12.319 --> 00:24:12.480
Yeah.

00:24:12.799 --> 00:24:13.839
And they should use it more.

00:24:14.319 --> 00:24:24.319
Yeah, I do, you know, like the Russian studies were 10 days, um, a bit higher dose, but 10 days in a row and then like twice a year, and it decreased mortality rate.

00:24:24.400 --> 00:24:26.640
So I'm like, why not?

00:24:26.720 --> 00:24:27.680
But I'm gonna do it.

00:24:28.079 --> 00:24:29.440
I just don't see a downside to it.

00:24:29.519 --> 00:24:30.480
So yeah.

00:24:31.119 --> 00:24:33.359
What do you was your Tesla Moralin regimen?

00:24:33.519 --> 00:24:40.319
What dosage and like do you cycle or do you just I cycle it so I do like five days on, two off in the evenings.

00:24:40.559 --> 00:24:40.799
Yep.

00:24:40.960 --> 00:24:44.400
When I remember Are you consistently on it?

00:24:45.039 --> 00:24:46.079
No, no, I cycle.

00:24:46.160 --> 00:24:49.759
I'll do it for like a month and then I'll take a month or two off.

00:24:49.920 --> 00:24:56.319
Um, sometimes I'll throw in CJC epamorlin while I'm off Tesla Moralin, or I'll just come off altogether.

00:24:56.559 --> 00:25:00.720
Um so I probably do Tesla Morlin like three times a year.

00:25:01.039 --> 00:25:01.359
Okay.

00:25:01.599 --> 00:25:04.559
For like a month long for like a month, yeah, four to six weeks.

00:25:04.880 --> 00:25:06.720
Do you get the flushing with CJC?

00:25:06.799 --> 00:25:19.039
Because a lot of people like I didn't know, but like one of my friends said it, and I thought it was just that he took he's been on growth hormone for like 20 years, um low dose, but then he took C.

00:25:19.359 --> 00:25:21.519
I was like, why don't you stop taking growth hormone?

00:25:21.599 --> 00:25:22.799
You're like running.

00:25:24.559 --> 00:25:29.200
Yeah, I'm like, just start CJC, but like CJC caused a lot of flushing.

00:25:29.440 --> 00:25:33.279
I never had him try tesomorlin or anything, but he he had a lot of flushing.

00:25:33.519 --> 00:25:44.240
And then like I was talking to some of my other friends that I had started on CJC, and they're like, but one of them's like, I don't care, I I like what it's doing, so I continue to take it.

00:25:44.559 --> 00:25:44.880
Yeah.

00:25:45.279 --> 00:25:52.960
Uh and his wife was like, I couldn't do it because it just like felt like my whole face uh like I was racing.

00:25:53.519 --> 00:25:56.000
I I hadn't ever.

00:25:56.319 --> 00:26:05.759
Um, I've got one of my nurses, he and his wife took it, and they both like he hadn't had it and then had a he'd been on it a while and got it.

00:26:06.000 --> 00:26:09.440
His wife was similar, like she even felt like almost short of breath.

00:26:09.599 --> 00:26:09.680
Yeah.

00:26:09.839 --> 00:26:11.039
She's like, Oh, I can't take it.

00:26:11.200 --> 00:26:11.359
Yeah.

00:26:11.599 --> 00:26:18.559
But what I've read is like the more inflammation you have in your body, the more you can get that kind of flushing sensation with it.

00:26:18.799 --> 00:26:23.440
And I had it one time, yeah, but it was when I was pretty run down, like right around Christmas.

00:26:23.519 --> 00:26:24.799
I'd just run a big race.

00:26:24.880 --> 00:26:25.039
Yeah.

00:26:25.200 --> 00:26:29.359
And I was like, Oh, I need to go back on my CJC because I'd come off Tesmorlin.

00:26:29.680 --> 00:26:31.200
I did experience just a little flushing.

00:26:31.519 --> 00:26:32.720
How far after the race?

00:26:32.960 --> 00:26:34.400
Oh, it was like the next week.

00:26:34.640 --> 00:26:34.880
Okay.

00:26:35.039 --> 00:26:36.400
So I'm sure I was pretty inflamed.

00:26:36.720 --> 00:26:43.839
I I think so they these probably like just unexplained pathways between growth hormone and like your your inflammatory cells.

00:26:44.000 --> 00:26:44.240
Yeah.

00:26:44.480 --> 00:26:47.279
So they're gonna probably like release some type of histamine.

00:26:47.759 --> 00:26:48.880
Release more histamine, yeah.

00:26:49.519 --> 00:26:55.200
For me, I would get it some sometimes, but I didn't know if it was that or the 10 other things I was thinking.

00:26:55.359 --> 00:26:59.599
So melanotan will make me party flushan PT141 for sure.

00:26:59.920 --> 00:27:05.519
Melanotan just like makes you feel miserable for the first hour after you take it.

00:27:05.759 --> 00:27:06.559
But do you feel that?

00:27:06.799 --> 00:27:08.000
I get about 10 minutes.

00:27:08.160 --> 00:27:08.400
Yeah.

00:27:08.559 --> 00:27:10.319
Like nausea, flushed.

00:27:10.480 --> 00:27:11.519
I'm like, what did I just do?

00:27:12.000 --> 00:27:12.160
I know.

00:27:12.240 --> 00:27:14.480
I'm like, especially runs ultra marathons.

00:27:14.640 --> 00:27:18.480
That's why if you do that, you won't have those side effects for more than 10 minutes.

00:27:18.799 --> 00:27:24.559
No, melanatin, like, yeah, you you take it, you're like, all right, at least you know it's working.

00:27:24.720 --> 00:27:24.960
Yeah.

00:27:25.200 --> 00:27:25.359
Yeah.

00:27:25.839 --> 00:27:27.279
That's my theory.

00:27:28.000 --> 00:27:29.359
Yeah, it was that.

00:27:29.680 --> 00:27:30.400
What was the other?

00:27:30.799 --> 00:27:36.000
I want to chart how much you two spent on peptides throughout the year.

00:27:36.240 --> 00:27:38.480
This has gotta this has gotta add up.

00:27:39.839 --> 00:27:41.440
You get them wholesale, so it helps.

00:27:41.680 --> 00:27:42.319
That is true.

00:27:42.880 --> 00:27:46.720
I know that's why you have to have them in your clinic so that you can get them yourself.

00:27:47.200 --> 00:27:48.160
Makes it a lot easier.

00:27:48.400 --> 00:27:49.519
Yeah, definitely.

00:27:49.680 --> 00:27:54.559
So GHKCU sometimes stings, but it's really interesting because a lot of times it doesn't.

00:27:54.720 --> 00:28:00.079
One time I did it in my arm and I swear it went in the muscle instead of subcutaneous, and that hurt for like days.

00:28:00.240 --> 00:28:02.960
Oh, yeah, I'll get like a so I never put in my arm anymore.

00:28:03.519 --> 00:28:05.680
I have quite a reaction to it.

00:28:05.759 --> 00:28:14.160
Like, I gotta do very low dose because otherwise, yeah, I'll get a stro, like it'll go anywhere it spreads to, I'll get a red spray.

00:28:14.319 --> 00:28:15.200
Is it bruise too?

00:28:15.519 --> 00:28:16.400
No, no bruise.

00:28:16.640 --> 00:28:20.079
It just turns like Matsy and GHK, like those two.

00:28:20.400 --> 00:28:21.920
He just bruises wherever I hit him.

00:28:22.079 --> 00:28:37.039
Um yeah, and the other thing is if I do a little too high of a dose, like my entire face starts flaking because like your keratinosite turnover is like, yeah, it just like goes crazy.

00:28:37.119 --> 00:28:38.960
And like what if you just push through?

00:28:39.039 --> 00:28:40.559
Then will it settle down?

00:28:41.119 --> 00:28:43.839
I got it takes like a week or so to for it.

00:28:44.000 --> 00:28:46.000
Like, I'm like, why am I flaking so much?

00:28:46.160 --> 00:29:00.319
I was like, oh, because um I I got some that I had to mix, and like I I I was like, usually it just tells me units to put in, and I think I put two too high.

00:29:00.400 --> 00:29:11.119
First of all, it burnt like hell, and then I noticed for like a week my like my nose, everything's like peeling, and I was I was like, it must be from the GHK.

00:29:11.680 --> 00:29:12.319
That makes sense.

00:29:14.160 --> 00:29:15.279
I'm just tuning in.

00:29:18.559 --> 00:29:20.240
Um what peptides sucked?

00:29:20.799 --> 00:29:22.720
I don't know if I've had any that I didn't like.

00:29:23.200 --> 00:29:25.680
The one I think did nothing was KIS peptin.

00:29:25.759 --> 00:29:34.160
KIS peptin's never because people were like, take it to like increase your testosterone level, like it almost like a HCG.

00:29:34.720 --> 00:29:39.359
I used it with some women for like fertility to help, but I always use it with something else too.

00:29:39.599 --> 00:29:42.960
But someone said there's like a Kispeptin 50, but you can't find it anywhere.

00:29:43.039 --> 00:29:48.640
It's like the KIS peptin 10 and KIS peptin 10 is not as effective at all.

00:29:48.880 --> 00:29:54.640
Like some people it works for, I think it's only like 30% of people or something that it's effective on.

00:29:54.880 --> 00:29:55.039
Yeah.

00:29:55.200 --> 00:29:57.759
So yeah, simaglutide I hated, honestly.

00:29:57.920 --> 00:29:58.079
Really?

00:29:58.480 --> 00:29:58.799
Yeah.

00:29:58.960 --> 00:30:02.799
I think I mean I think trzepatide, and I just use retitrutide now.

00:30:02.880 --> 00:30:04.319
Yeah, because I think it's so much better.

00:30:04.480 --> 00:30:13.359
Yeah, but I took after I had like 10 pounds of baby weight that I wanted to get rid of, and I'm this was like six years ago, and I'm like, let me try it.

00:30:13.599 --> 00:30:18.960
And literally one shot, I had nausea the whole week, and I was like crazy.

00:30:19.200 --> 00:30:24.559
Like, and the only thing I can relate it to is that like dark thoughts.

00:30:26.079 --> 00:30:26.960
I was crazy.

00:30:27.200 --> 00:30:39.279
It it I could like being female, I will admit, but but it might be a female thing that the females react because I had a patient that called me today that just started oral semiglutide.

00:30:39.359 --> 00:30:48.240
She's like, I love the anti-inflammatory effect, but it made me just absolutely moody and crazy.

00:30:48.400 --> 00:30:49.920
She's like, I can't do this.

00:30:50.079 --> 00:30:51.680
It's like just absolutely nuts.

00:30:51.839 --> 00:31:03.359
I'm like, I didn't have I haven't really had, you know, I I knew about the whole suicidal ideation and thoughts like that and decreased energy, but I hadn't heard about like really much mood changes.

00:31:03.599 --> 00:31:05.839
One shot, and I'll never touch some of glitide again.

00:31:06.000 --> 00:31:07.200
So I was nervous for turbulence.

00:31:07.519 --> 00:31:08.799
Start at a lower dose.

00:31:09.119 --> 00:31:21.440
I think it's the body tolerance to the just pure GLP one agonist that that could do that if you maybe but I might start it at like the lowest dose.

00:31:21.599 --> 00:31:24.000
Yeah, but even the lowest dose because 0.25.

00:31:24.319 --> 00:31:25.759
Yeah, start at the highest dose.

00:31:25.920 --> 00:31:26.640
I started at the highest.

00:31:26.799 --> 00:31:27.920
He showed up in the operating room.

00:31:28.079 --> 00:31:30.160
He's like, I'm feeling sick.

00:31:30.400 --> 00:31:30.720
Oh, yeah.

00:31:30.799 --> 00:31:30.960
Yeah.

00:31:31.680 --> 00:31:32.799
You have to leave the whole R.

00:31:32.960 --> 00:31:33.839
We're in a case together.

00:31:33.920 --> 00:31:35.440
He's like, I gotta go to the bathroom.

00:31:35.519 --> 00:31:37.440
And he's like, I don't know.

00:31:39.359 --> 00:31:40.880
This guy's too cool for anything.

00:31:41.039 --> 00:31:43.440
Like it's stuff like I don't need to titrate this.

00:31:44.960 --> 00:31:49.039
These weak ass motherfuckers taking like half the dose.

00:31:49.519 --> 00:31:56.720
It's like I've taken everything, every diet thing on the planet, and I'm like, oh, this is kind of like nothing really works on me.

00:31:56.880 --> 00:32:00.240
And like I don't have time with anything either.

00:32:00.799 --> 00:32:05.039
I because at the time, like you got like my insurance even paid for it.

00:32:05.119 --> 00:32:15.200
I paid 25 bucks for like six months worth and I came into the OR for like an eight-hour procedure, and he was just like, I gotta go to the bath.

00:32:15.359 --> 00:32:16.400
Oh, that would be miserable.

00:32:16.480 --> 00:32:20.000
Yeah, I finished my part and then I was like, I I gotta run.

00:32:20.480 --> 00:32:21.039
Yeah.

00:32:21.279 --> 00:32:35.279
But like, yeah, it was like I thought I got food poisoning because I I had like a tuna sandwich, and then uh that's what did it then I was like uh must have been in the tuna sandwich, and then I was like, hospital food?

00:32:35.440 --> 00:32:36.400
Yeah, yeah.

00:32:36.480 --> 00:32:44.000
If it's hospital food, we're just like in the physician's lounge and stuff, like you know what, you get sick, you get to deal with it.

00:32:44.160 --> 00:32:52.160
And I rarely eat hospital food, so it was like once in a free while hospital food, like free food.

00:32:52.559 --> 00:32:53.440
I know, I know.

00:32:53.519 --> 00:32:58.160
Now I'm like, I look at it like one of the hospitals.

00:32:58.240 --> 00:33:04.240
I'm literally like deciding between the entrees, like how much diarrhea do I want after this?

00:33:04.400 --> 00:33:08.720
This is well, our youngest brother, he keeps on getting sick from the one hospital.

00:33:08.960 --> 00:33:11.839
He's like, I'm more like, you got issues, man.

00:33:11.920 --> 00:33:13.119
You're sick every other week.

00:33:13.200 --> 00:33:15.680
It's like he's we both got sick one time.

00:33:16.079 --> 00:33:27.680
Like I showed up like the operating room whole day of surgery with him too, and we both were like not just having stomach issues, but had fevers and have to operate the whole day.

00:33:27.759 --> 00:33:33.119
We were having like fevers and chills, and it's just like I gotta scrub out.

00:33:33.200 --> 00:33:34.720
I gotta scrub out again.

00:33:34.880 --> 00:33:39.920
And then like we brought it up to him and was like, Did you guys eat at the hospital on Thursday?

00:33:40.079 --> 00:33:43.279
We're like, Yeah, he's like, What do you think?

00:33:43.519 --> 00:33:44.799
Yeah, isn't that sad?

00:33:44.960 --> 00:33:53.279
Like the place that's supposed to be healing people is where it's horrible, it's like mass-produced, and we've we've brought it up on prior episodes.

00:33:53.680 --> 00:33:54.720
Talk about seed oils.

00:33:54.880 --> 00:33:58.799
I uh I'm just afraid of the oils they use, so I freaking my own food.

00:33:59.119 --> 00:34:00.480
Forget about the oils.

00:34:00.640 --> 00:34:12.000
Like, I've brought this story up a couple times already in previous episodes, but I we had a friend on the wrestling team that his work study was in the cafeteria.

00:34:12.159 --> 00:34:14.639
We're like, Oh no, his name was Jose.

00:34:15.280 --> 00:34:20.000
Um like, hey Jose, what are you doing with those buckets?

00:34:20.320 --> 00:34:22.719
Five-gallon buckets, he's garrying two of them.

00:34:22.800 --> 00:34:26.480
He's like, Oh, just taking them to the kitchen so they can use it with the food.

00:34:26.719 --> 00:34:27.599
Like, what is that?

00:34:27.679 --> 00:34:29.679
He's like, Oh, it's laxatives.

00:34:29.840 --> 00:34:31.039
I'm like, wait, what?

00:34:31.199 --> 00:34:41.519
He's like, Oh yeah, anywhere you mass produce foods, they dump it with laxatives because the faster it goes through your system, the less chance you're gonna get food poisoning from it.

00:34:41.679 --> 00:34:43.440
I was like, what the fuck?

00:34:43.679 --> 00:34:44.559
That can't be true.

00:34:44.800 --> 00:34:45.920
It is, it's true.

00:34:46.000 --> 00:34:46.639
I looked it up.

00:34:47.440 --> 00:34:47.760
It's true.

00:34:48.000 --> 00:34:50.800
You go to the buffets and stuff, that's the don't eat up.

00:34:51.440 --> 00:34:58.079
Yeah, and that's that's why I'm like always wary of like I almost never go to all you can eat buffets.

00:34:58.719 --> 00:35:06.559
Yeah, it's just yeah, go to PF Chang's for like for for like rat shit lettuce reps.

00:35:06.880 --> 00:35:09.360
I want to know where you get your Reditrutide from.

00:35:09.679 --> 00:35:10.000
Soma.

00:35:10.800 --> 00:35:12.400
Another great segue.

00:35:13.039 --> 00:35:17.280
I use I use Soma peptides for all my peptides, really.

00:35:17.599 --> 00:35:17.920
All right.

00:35:18.159 --> 00:35:18.639
I love them.

00:35:18.719 --> 00:35:19.760
They've been really good to work with.

00:35:20.239 --> 00:35:20.880
Soma peptides?

00:35:21.119 --> 00:35:21.679
Soma, yeah.

00:35:21.840 --> 00:35:27.360
My friends, a bunch of my friends get it from third-party tests, they're batches.

00:35:27.440 --> 00:35:31.440
I feel like they're pure, they're good to work with, they're easy to get.

00:35:31.760 --> 00:35:33.760
I've started to use Alpha Biomed.

00:35:33.840 --> 00:35:36.239
They um for my own stuff.

00:35:36.400 --> 00:35:50.960
I don't use it with the patients, but they I supposedly they're a 503B company, but like I'm just kind of afraid of like when the patients go because you can set up a site that they can go and buy their own stuff from.

00:35:51.280 --> 00:35:55.679
So my patients all like go through me to get them, but yeah.

00:35:56.000 --> 00:35:57.599
But I do like the redotruitide.

00:35:57.840 --> 00:35:58.320
Yeah, yeah.

00:35:58.480 --> 00:36:03.199
No, I know it's I've been on the red or true tide and I just ran out and ordered some more.

00:36:03.280 --> 00:36:07.920
So which receptors do you does redotruda trutide work?

00:36:08.559 --> 00:36:11.599
GLP1, GIP, and the glucagon receptor.

00:36:12.000 --> 00:36:13.280
Okay, that's yeah, so that's the third one.

00:36:14.400 --> 00:36:25.840
So you actually don't feel like you're on a GLP one when you're doing it, yeah, but you notice like you notice you're keeping muscle, you're eating less, and you just feel clean.

00:36:26.000 --> 00:36:26.320
I don't know.

00:36:26.480 --> 00:36:36.320
That's that's the way I think it's more anti-inflammatory, although I read a study that showed maybe trzeptide had a little less inf like a little stronger anti-inflammatory effect.

00:36:38.719 --> 00:36:39.519
Yeah, yeah.

00:36:39.840 --> 00:36:44.880
I I definitely see with retitruitide, people don't have as much muscle wasting.

00:36:45.039 --> 00:36:45.199
Yeah.

00:36:45.440 --> 00:36:51.840
So I take it more for the anti-inflammatory effect and microdose it, but I don't want to lose weight and I want to keep my muscles.

00:36:52.079 --> 00:36:52.880
So that's why I like it.

00:36:53.280 --> 00:36:58.159
Which you'll micro dose about half is like yeah, like five units, like one milligram.

00:36:58.480 --> 00:36:58.639
Yeah.

00:36:58.800 --> 00:37:02.480
And where do you usually start your uh patients at?

00:37:02.800 --> 00:37:04.559
Usually at like 10 units.

00:37:04.960 --> 00:37:05.280
Yeah.

00:37:05.519 --> 00:37:06.000
So two.

00:37:06.559 --> 00:37:07.920
It starts at two milligrams.

00:37:08.079 --> 00:37:08.239
Yeah.

00:37:09.039 --> 00:37:10.000
You gotta get on it.

00:37:10.159 --> 00:37:11.280
Um I I do.

00:37:12.639 --> 00:37:18.960
But that would require me to think my mom used it and it it made her mood so much better.

00:37:19.119 --> 00:37:21.760
My whole family is like, what did you do to mom?

00:37:22.000 --> 00:37:23.119
Please keep doing it.

00:37:24.079 --> 00:37:27.119
Overall, it's it's probably balancing hormones too.

00:37:27.199 --> 00:37:30.639
Yeah, you know, overall less fat, less inflammation.

00:37:31.199 --> 00:37:31.360
Yeah.

00:37:31.519 --> 00:37:32.880
For for my patients, I do.

00:37:32.960 --> 00:37:33.280
Yeah, yeah.

00:37:33.519 --> 00:37:38.079
I do it like once or twice a month because I really, really low dose it.

00:37:38.719 --> 00:37:39.280
Yeah.

00:37:39.920 --> 00:37:53.679
Yeah, and it actually like, you know, even at a like when I do it once a week, it like you don't feel like you actually need it with troseptide you at day five, six, you notice you're like snacking a little more.

00:37:53.920 --> 00:37:54.159
Yeah.

00:37:54.320 --> 00:37:58.800
So with trzepatite, I often actually split it and have my patients do it twice a week.

00:37:59.039 --> 00:37:59.280
Yeah.

00:37:59.519 --> 00:37:59.760
Okay.

00:38:00.079 --> 00:38:00.239
Okay.

00:38:00.480 --> 00:38:03.280
But and semiglutide has the best satiety.

00:38:03.519 --> 00:38:06.079
It's supposed to have the best satiety out of all of them.

00:38:06.239 --> 00:38:08.239
But yeah, I hardly use it at all.

00:38:08.320 --> 00:38:12.159
And probably personally, just my experience, so I guide my patients away from it.

00:38:12.400 --> 00:38:12.800
Yeah, yeah.

00:38:13.519 --> 00:38:18.719
I I know I try to as well like but some patients want a cost effective.

00:38:19.360 --> 00:38:20.800
Yeah, yeah, it's much cheaper.

00:38:21.119 --> 00:38:21.280
Yeah.

00:38:22.159 --> 00:38:22.559
For now.

00:38:22.880 --> 00:38:23.199
For now.

00:38:23.519 --> 00:38:24.800
It's gonna be different in 12 months.

00:38:24.960 --> 00:38:29.039
It'll always be cheaper, but yeah, price gap is gonna decrease over time.

00:38:29.280 --> 00:38:30.559
Yeah, I think we'll see it improve.

00:38:31.519 --> 00:38:32.320
Be more available.

00:38:32.880 --> 00:38:36.800
Until uh 15 receptor injection comes out.

00:38:37.119 --> 00:38:37.280
Yeah.

00:38:37.599 --> 00:38:40.719
Yeah, I'm just wondering when Reditru Tide's actually gonna come out.

00:38:41.679 --> 00:38:47.440
It'll be really interesting, especially like since so many people already are using it and found it.

00:38:47.840 --> 00:38:50.320
Like what Eli Lily's gonna do with that.

00:38:50.559 --> 00:38:50.800
Yeah.

00:38:51.519 --> 00:38:57.519
So um yeah, it's just it's just a wonder like what they're waiting for to actually release it.

00:38:57.599 --> 00:39:06.719
Yeah, you know, because they probably have enough results in every because it's shown drastically better results than the other two.

00:39:07.119 --> 00:39:14.960
But how to rep tummy once they're trying to get it labeled as like a biologic, because then that makes a difference on whether compound pharmacies can make it or not.

00:39:16.639 --> 00:39:19.840
So they can charge more and compound pharmacies can't do it then.

00:39:20.000 --> 00:39:21.440
So I that makes sense.

00:39:22.159 --> 00:39:23.199
That actually makes perfect sense.

00:39:24.480 --> 00:39:28.400
So maybe that's what's taking longer for them to push it out, is because they're trying to wait on that.

00:39:29.440 --> 00:39:35.519
They just need to add a monoclonal antibody to it, and they can really charge like top dollars.

00:39:36.079 --> 00:39:41.519
And then you'll start seeing commercials on TV for moderate to severe obesity.

00:39:42.320 --> 00:39:44.400
If you have mild to moderate, you're fine.

00:39:44.639 --> 00:39:47.599
But moderate to severe, we got we got the drug for you.

00:39:48.000 --> 00:39:48.480
You need it.

00:39:48.559 --> 00:39:48.880
Yep.

00:39:49.599 --> 00:39:50.400
It's a biologic.

00:39:50.800 --> 00:39:54.159
So, what are some of the things you do in your practice?

00:39:54.639 --> 00:39:56.639
So we do hormones, yeah.

00:39:56.800 --> 00:40:00.320
Um, we do we do a lot of IV therapy.

00:40:00.480 --> 00:40:00.719
Okay.

00:40:00.960 --> 00:40:04.480
Um, we do some of the specialty IVs too.

00:40:04.639 --> 00:40:07.599
So, like ozone therapy, yeah, methylene blue.

00:40:07.760 --> 00:40:08.960
I love NAD.

00:40:09.199 --> 00:40:09.360
Okay.

00:40:09.519 --> 00:40:10.960
We do chelation.

00:40:11.679 --> 00:40:14.400
Um, and then we do weight loss.

00:40:14.639 --> 00:40:16.639
Um, I call it body balancing.

00:40:16.719 --> 00:40:16.800
Yeah.

00:40:17.119 --> 00:40:20.000
Because I'm trying to teach them like I don't want you to lose weight.

00:40:20.159 --> 00:40:23.360
I want you to get your body fat percentage down and build muscle.

00:40:23.519 --> 00:40:23.679
Yeah.

00:40:23.760 --> 00:40:24.000
Yeah.

00:40:24.159 --> 00:40:31.920
Um, and I try to do a lot with recovery and getting more and more connections with like more athletes and especially runners.

00:40:32.079 --> 00:40:32.239
Yeah.

00:40:32.400 --> 00:40:37.199
Like, hey, like use this like to improve your performance and your recovery.

00:40:37.679 --> 00:40:39.199
We do a lot of peptides.

00:40:39.440 --> 00:40:39.679
Okay.

00:40:39.840 --> 00:40:41.519
Um where are you guys located?

00:40:41.760 --> 00:40:43.360
I'm right by Encanto Park.

00:40:43.599 --> 00:40:48.000
So I have a little, it's a historic home that I turned into like a little wellness retreat.

00:40:48.239 --> 00:40:48.480
Okay.

00:40:48.719 --> 00:40:54.719
So you feel like you're going into a house and it's really cozy and cute and have a nice little garden where they can go drip outside.

00:40:55.280 --> 00:40:55.519
Nice.

00:40:55.679 --> 00:40:55.920
Yeah.

00:40:56.159 --> 00:40:59.360
Um do you do acetamine treatments there too now?

00:40:59.519 --> 00:40:59.760
Yep.

00:40:59.840 --> 00:41:01.679
So that's just coming on this spring.

00:41:01.920 --> 00:41:03.039
We just got it in.

00:41:03.360 --> 00:41:05.440
Um so I love it.

00:41:08.480 --> 00:41:14.880
And then for like hormones, what are you doing overall with hormones, injections, creams, or like what are you doing?

00:41:15.039 --> 00:41:15.440
Oh, the above.

00:41:16.320 --> 00:41:16.559
Yeah.

00:41:16.639 --> 00:41:26.000
So usually hormones, um right now they're meeting with me, but I'm bringing on uh a nurse practitioner who will kind of lead that up.

00:41:26.320 --> 00:41:28.960
Um and then I'll meet with her every six months.

00:41:29.119 --> 00:41:29.360
Yeah.

00:41:29.519 --> 00:41:32.559
Um, and then they just choose what works best for them.

00:41:32.719 --> 00:41:32.960
Yeah.

00:41:33.199 --> 00:41:36.000
I think not it's not a one size fits all.

00:41:36.079 --> 00:41:36.400
Yeah.

00:41:36.559 --> 00:41:40.480
Um, so I don't love creams, but some people want to try that.

00:41:40.559 --> 00:41:41.360
So I let them.

00:41:42.239 --> 00:41:48.000
Yeah, I have a ton of friends that are on creams because yeah, they're don't want to do injections.

00:41:48.079 --> 00:41:49.199
It's easy for them.

00:41:49.440 --> 00:41:52.480
Like for me, I hate putting on creams, so it's like a lot of things.

00:41:52.719 --> 00:41:54.400
It's kind of sloppy from what I hear.

00:41:55.039 --> 00:41:55.119
Yeah.

00:41:55.280 --> 00:42:03.199
And then the trochies we use, um, RX formulations or camelbot compounding is usually will custom make them for us.

00:42:03.519 --> 00:42:04.639
And I think they work.

00:42:04.800 --> 00:42:09.280
I just I mean, it takes forever for those things to melt in your mouth, and I would get sick of it.

00:42:09.440 --> 00:42:09.599
Yeah.

00:42:09.760 --> 00:42:10.559
And I'd forget.

00:42:10.639 --> 00:42:12.000
I'm I'm terrible at that.

00:42:12.159 --> 00:42:15.199
So I like the injections or the pellets the best.

00:42:15.360 --> 00:42:15.679
Yeah.

00:42:15.840 --> 00:42:19.440
Um, I love pellets because again, probably personal preference.

00:42:19.599 --> 00:42:21.519
Like it's a like you get it and you forget about it.

00:42:22.079 --> 00:42:23.519
What pellets do you use?

00:42:23.760 --> 00:42:26.480
Um, I've used bio T and Anazao.

00:42:26.880 --> 00:42:27.119
Okay.

00:42:27.280 --> 00:42:27.440
Yeah.

00:42:27.840 --> 00:42:28.559
What do you prefer?

00:42:28.719 --> 00:42:30.480
Either one or both?

00:42:30.719 --> 00:42:37.440
I don't know that I we just had a bio tea recall and I had the pellet, I had extra pellets put in me.

00:42:37.599 --> 00:42:39.440
Yeah, they had heavy metal in them.

00:42:39.519 --> 00:42:44.000
So like we we were we didn't have them for a while, and we just got a bunch of.

00:42:44.239 --> 00:42:46.079
Yeah, there was a recall, so yeah.

00:42:46.239 --> 00:42:49.920
So I got a bunch from Aniseo, and I I don't know what I'm saying.

00:42:50.320 --> 00:42:52.880
We were thinking of going to, but yeah, yeah.

00:42:52.960 --> 00:42:58.480
I I I just think like they gotta IOT's like education stuff.

00:42:58.559 --> 00:43:02.719
It talks about how like it's gotta be pure bioidentical.

00:43:03.119 --> 00:43:06.079
It's like what what are they like putting fish in there?

00:43:06.239 --> 00:43:08.480
Where is your heavy metal poison?

00:43:08.960 --> 00:43:09.280
I don't know.

00:43:09.519 --> 00:43:10.320
I don't know.

00:43:11.360 --> 00:43:13.599
Um sorry, yeah, yeah.

00:43:13.679 --> 00:43:20.800
I I love pellets, but like I you know, you don't get the high like you do with uh injectables.

00:43:21.119 --> 00:43:27.519
Um but also I don't like you can never tell how they dissolve or how you absorb them.

00:43:27.840 --> 00:43:39.920
Um uh but it is good to have a balance with that, and if you need to either add creams or injections, like yeah, when you're you feel like you're getting down, I think it's uh that's what I'm finding.

00:43:40.000 --> 00:43:44.639
And even people that you think you've got, hey, they're on the dose, yeah, every once in a while they'll metabolize it faster.

00:43:44.880 --> 00:43:47.440
And then like is it what they're eating, is it their stress?

00:43:47.599 --> 00:43:49.199
Is it they're exercising more?

00:43:49.519 --> 00:43:52.400
Yeah, you probably have a wide range of exercise.

00:43:52.480 --> 00:43:52.800
Yeah.

00:43:53.119 --> 00:43:56.800
Patients like you probably have some like hyper athletes.

00:43:57.519 --> 00:43:59.760
I push them to to get more exercise, so maybe.

00:44:00.159 --> 00:44:01.280
They're listening to me finally.

00:44:02.159 --> 00:44:03.039
That would be nice.

00:44:03.679 --> 00:44:08.159
But like your numbers could look good, but you don't like you don't feel like your numbers are are there.

00:44:08.320 --> 00:44:15.519
And I I've felt some sometimes with the pellets where I'm like, all right, I'll do an injection this week or something like that.

00:44:15.920 --> 00:44:17.199
But like definitely a little bit.

00:44:17.440 --> 00:44:19.119
Yeah, different different doses.

00:44:19.199 --> 00:44:24.400
And I've I I've gone to titrate the other hundred peptides I'm taking.

00:44:24.639 --> 00:44:25.440
It might be one of those.

00:44:27.199 --> 00:44:35.440
Well, for you, you you just probably do small pellets, but like yeah, I I was doing the larger pellets and I was like, you gotta be a pretty big guy to it.

00:44:35.519 --> 00:44:37.760
Like it felt like a grapefruit in my back.

00:44:37.840 --> 00:44:40.400
So I was like, I couldn't do that for too long.

00:44:40.559 --> 00:44:40.800
Yeah.

00:44:40.960 --> 00:44:48.719
So I but still like it's like 12 or 14 pellets with a small one, so it's not like a small thing, right?

00:44:48.960 --> 00:44:52.000
So I watched the subconscious.

00:44:52.719 --> 00:44:54.719
They do have something that's similar to a gun.

00:44:54.800 --> 00:44:58.320
I'm like, that's one of the things I wanted to go to the conferences for.

00:44:58.400 --> 00:45:02.239
It's like last time I went, like, we looked at a bunch of pellets.

00:45:02.320 --> 00:45:07.280
We're like, oh, we have bio T, but like now I'm like need to go and study the pellet companies.

00:45:07.840 --> 00:45:12.639
I know there's so many companies out there, and I kind of just like I was like, ah, whatever.

00:45:12.719 --> 00:45:14.880
But it's that's the same with the peptides.

00:45:14.960 --> 00:45:17.199
Like, I'm sure there are tons of great companies.

00:45:17.360 --> 00:45:22.800
Yeah, and I've tried a I tried a few out before I found Soma and I yeah, I like Soma, and I'm like, I like them.

00:45:23.119 --> 00:45:27.360
Yeah, I know them, and there's just the options are overwhelming.

00:45:27.519 --> 00:45:29.519
So I think with Pulitz, it's kind of similar for me.

00:45:29.599 --> 00:45:38.000
I'm like, okay, I know how these work, and I'm just gonna stay with them even though there's a hundred other options, just because when do you stop searching?

00:45:38.079 --> 00:45:49.599
And yeah, like one guy, um I on YouTube, he he was doing a comparison and testing out like 10 different companies he bought Reditrutite from.

00:45:49.760 --> 00:45:50.079
Oh, really?

00:45:50.239 --> 00:45:52.800
And he's like, he's trying to see how pure they were.

00:45:52.880 --> 00:45:55.119
They were all like the same purity level.

00:45:55.440 --> 00:46:02.719
He's like, either they're all getting it from the same place in China, or like arguing whose is more pure.

00:46:03.199 --> 00:46:13.199
Yeah, and they were all like 97% pure, which is like it's good to hear that there's that many companies producing even out of China, yeah.

00:46:13.280 --> 00:46:24.800
Yeah, well, I've I've looked at it, and like my friend, because we were looking at opening up a research um company, and he went and like tested like 20 different companies.

00:46:24.960 --> 00:46:32.719
Um, and he's like and he brought them back and third party tested them and like found pretty good product.

00:46:32.880 --> 00:46:40.559
And a lot of the companies, the higher, the more you paid for it, like the more testing they had done on the product.

00:46:41.039 --> 00:46:42.079
Yeah, already.

00:46:42.320 --> 00:46:44.079
So uh beforehand.

00:46:44.239 --> 00:46:52.000
One of one of the main things was like I I used to use originally started with peptides, I used peptide sciences.

00:46:52.079 --> 00:46:52.400
Oh, yeah.

00:46:52.480 --> 00:47:08.400
And that was the changeover was when I went to the compound pharmacy, and when we were talking about the whole growth hormone thing, and you were saying with um the flushing, like if you're more inflamed, what happened like with me, it was like CJC epimoral.

00:47:08.559 --> 00:47:15.039
I got these vivid dreams as soon as I got the compounded form compared to what I was getting from peptide sciences.

00:47:15.199 --> 00:47:23.519
I was like, all right, maybe it's because like the peptide sciences one was just like nothing, and now I'm getting the real stuff.

00:47:23.599 --> 00:47:27.760
But like once I caught up with my deep sleep, yeah, then the vivid dreams went away.

00:47:28.079 --> 00:47:36.000
But like anytime I came, you know, I had low sleep quality, yeah, then the vivid dreams come back when I take interesting.

00:47:36.079 --> 00:47:42.960
Yeah, when I just epimorin, even with tesamorin stuff, yeah, with the growth hormone releasing peptides.

00:47:43.199 --> 00:48:00.079
Yeah, that I was trying to remember what I was trying to say, and that that was it because you were talking about the inflammation, and that's kind of like you know, inflammation or not enough sleep, that all that comes together with these peptides kind of balancing everything out.

00:48:00.480 --> 00:48:05.679
I think that's a big deal I teach my patients too, is like, hey, we have all these tools, and I love peptides.

00:48:05.760 --> 00:48:07.119
They know it because I talk about them all the time.

00:48:07.280 --> 00:48:14.400
I love IVs, I use them, but I mean at the base is you've got to get sleep and you've got to get exercise and you've got to eat right.

00:48:14.480 --> 00:48:14.639
Yeah.

00:48:14.880 --> 00:48:18.239
And so we do a lot of that trying to educate the patients on that.

00:48:18.320 --> 00:48:22.480
Um, because it's amazing how many people don't realize hey, just get the basics.

00:48:22.639 --> 00:48:22.960
Yeah.

00:48:23.119 --> 00:48:49.039
Um well, their PCPs also don't tell them because that's and that's how they come to me and the you know, out of everything for their health, and because their PCPs don't spend the time, they just give them more antihypertensive or diabetic medications without or tell them to they're like, Oh, your hemoglobin A1C, it's a little elevated, you're pre-diabetic, but you you could do diet and exercise.

00:48:49.440 --> 00:48:52.559
Hemoglobin A1C is probably so detrimental for your own.

00:48:52.719 --> 00:48:54.320
Oh, they're already five years behind.

00:48:54.800 --> 00:49:03.440
So, you know, and then you look back and they've been trending up for eight years, and you're like, why didn't we stop this six years ago when you saw it slowly trending up?

00:49:03.760 --> 00:49:31.199
Yeah, so I was thinking you should probably do something with the ketamine with life coaching for balancing diet and not like anything major, like major depressive disorder, but doing doing like the ketamine or psychedelics, and then providing the coaches coaching to reset the way they think about eating, exercise, daily routine, sleep.

00:49:31.360 --> 00:49:35.039
Yeah, I think that would be like a huge like shift.

00:49:35.280 --> 00:49:40.719
That would it's like minimum risk and like little cost, really.

00:49:41.280 --> 00:49:51.760
So change your mindset so that you can get better sleep, better nutrition, and be willing to exercise and then be able to prioritize your life the appropriate way.

00:49:52.000 --> 00:49:57.519
Like this is what's confident, this is what's like really important in your life.

00:49:57.840 --> 00:50:05.280
Yeah, like yeah, I know we're trying to treat depression and stuff, but if you get the appropriate sleep, you're gonna be doing better.

00:50:05.440 --> 00:50:12.000
If you get eat appropriately, you're gonna be doing better, and all those little things add up even more.

00:50:12.400 --> 00:50:15.760
Yeah, it seems so simple, but we all struggle with it.

00:50:15.920 --> 00:50:20.000
Yeah, yeah, and we don't get taught this in residency or anything, not at all.

00:50:20.480 --> 00:50:22.960
And we're because big pharma is taking over.

00:50:23.280 --> 00:51:14.159
Yeah, but like but like as you learn more and more, and you're like everything's connected, and like people say that over and over again in like longevity medicine, but like once you start your journey and like you start doing it, you're like, shit, like you you notice, you're like, all right, my stomach's felt like crap, like I like my mind's been out of this world, like I can't think straight, I haven't slept appropriately, and like everything combines, like you know, you settle out your stomach, then your your brain gets back to functioning and you get better sleep, like all of it kind of comes together, and and like that's that's the thing with some of our TikTok posts, like you know, we're talking about like breast deformities and stuff, and people are like, it's not help, it's not a deformity, or you know, it's it how is it good for their health?

00:51:14.320 --> 00:51:17.599
I'm like, mental health is part of your overall health.

00:51:17.679 --> 00:51:24.880
So if your overall health isn't good, or if your mental health isn't good, your overall health isn't gonna be good.

00:51:25.039 --> 00:51:34.480
If you look at yourself in the mirror and are down, like you you need something to pick you up, you know, what you want to be normal.

00:51:34.639 --> 00:51:41.440
Um, it's not what like you know, other people think looks like a defect or not like a defect.

00:51:42.000 --> 00:51:52.239
If it bothers you that much, you know, like go and do something about it because mental health's a huge part of everyone's world, and yeah, with care.

00:51:52.639 --> 00:51:56.719
We have a whole sexual wellness program too, and I think that's super important.

00:51:56.960 --> 00:51:57.599
Yes, yeah.

00:51:57.760 --> 00:52:04.320
And people like get scared to talk about it or embarrassed to talk about it, but you can't be healthy with that part of your life.

00:52:04.400 --> 00:52:08.639
Yeah, not I always say you can't be you can't be healthy if you're not horny.

00:52:08.800 --> 00:52:12.239
So that's like someone said that, and I've always said Jose.

00:52:12.719 --> 00:52:14.159
It looks like he would say that.

00:52:14.239 --> 00:52:20.000
Yeah, someone said that, and I was like, Oh, that's that that is absolutely true.

00:52:20.159 --> 00:52:21.199
Yeah, so yeah.

00:52:21.519 --> 00:52:35.199
If you didn't recognize the the main thing we do in this podcast is we we bring on people who specialize in health, and he just talks at them for a good hour.

00:52:36.239 --> 00:52:39.119
So when you're treating hormones, here we go, look at it.

00:52:39.840 --> 00:52:43.440
Yeah, it's like okay, you want to know how to treat hormone level.

00:52:43.760 --> 00:52:46.880
Like, so what do you do you look at blood tests?

00:52:46.960 --> 00:52:48.480
How do what tests do you look at?

00:52:48.559 --> 00:52:51.920
And what do you try to get people to like level wise?

00:52:52.000 --> 00:52:56.000
What oh, um, so we just do labs, yeah.

00:52:56.159 --> 00:52:58.159
Um, like serum testing.

00:52:58.320 --> 00:52:59.840
Um, I do have the Dutch test.

00:53:00.079 --> 00:53:02.960
I'll do the Dutch plus test with the cortisol.

00:53:03.199 --> 00:53:03.440
Yeah.

00:53:03.599 --> 00:53:04.719
What's the Dutch test?

00:53:04.960 --> 00:53:07.760
The Dutch test is like urine and saliva.

00:53:08.159 --> 00:53:11.840
So um it's gonna break down all the hormone pathways.

00:53:12.000 --> 00:53:13.360
It's a lot of information.

00:53:13.519 --> 00:53:13.679
Yeah.

00:53:13.920 --> 00:53:15.119
Is it necessary?

00:53:15.760 --> 00:53:26.320
It's not a have to, but sometimes it's a nice added bonus when you get someone who's like, okay, we've got a serum, we've done biodenical replacement, and you don't feel better, even though your numbers say you're better.

00:53:26.559 --> 00:53:29.039
Which hormones does it um test?

00:53:29.440 --> 00:53:40.000
I mean, you're gonna break down all of your estrogen, testosterone, progesterone, but then you're gonna get all of the in-between chemicals and the pathway that they break down in your body.

00:53:40.239 --> 00:53:40.480
Okay.

00:53:40.639 --> 00:53:44.800
Um, and then you're gonna look at the HDA access too with cortisol.

00:53:45.119 --> 00:53:46.159
Okay, that's okay.

00:53:46.639 --> 00:53:49.119
So you're looking at all the different steroids.

00:53:49.760 --> 00:53:52.239
Um, we do the GI map.

00:53:52.320 --> 00:54:00.000
Yeah so we do some GI testing because I think gut health is related to overall health in a really big way.

00:54:00.159 --> 00:54:00.400
Yeah.

00:54:00.480 --> 00:54:03.360
Um, and then I do max gen, so some genetic testing.

00:54:03.519 --> 00:54:03.599
Okay.

00:54:03.840 --> 00:54:11.360
Because that's gonna look at like where are your genetics and how can that foundation build on how we treat you.

00:54:11.519 --> 00:54:11.760
Yeah.

00:54:12.000 --> 00:54:16.639
Um, and that's where we see like the apolipoproteins, the MTHFR.

00:54:16.880 --> 00:54:18.639
It's so popular to talk about right now.

00:54:18.880 --> 00:54:19.119
Yeah.

00:54:19.360 --> 00:54:25.920
I think it's well, I I heard someone talking about it on the one of the Aforum lectures a couple weeks ago.

00:54:26.079 --> 00:54:28.239
It was from the longevity conference.

00:54:28.480 --> 00:54:35.199
But they were saying how like people are making it like it's a huge thing where it's not.

00:54:35.360 --> 00:54:47.039
It's like, you know, it's only a certain port of that uh gene that's that you got to look at because a lot more people are gonna have that issue.

00:54:47.280 --> 00:54:57.760
It seems like they're gonna have that issue, but it's only a subset of them that have that part of the like 80% of people in America have some form of it.

00:54:57.920 --> 00:54:58.960
Yeah, but to what degree?

00:54:59.119 --> 00:55:00.400
Yeah, and how much is that in the case?

00:55:00.559 --> 00:55:04.880
Yeah, she said yeah, to look at like the second receptor, not just the notes.

00:55:05.039 --> 00:55:07.360
And the max gen does break that down, yeah.

00:55:07.599 --> 00:55:08.719
So you see both alleles.

00:55:09.119 --> 00:55:09.760
So it's kind of neat.

00:55:10.079 --> 00:55:11.920
Is for what again?

00:55:12.239 --> 00:55:13.199
The MTHFR.

00:55:14.480 --> 00:55:14.719
Yeah.

00:55:15.119 --> 00:55:25.280
And how does that affect like when you take vitamin and like the B vitamins and folate, and what format form you take it and how you can metabolize and absorb it.

00:55:26.000 --> 00:55:33.519
There's different ways to take those supplements and your body will absorb it if you have certain genetics.

00:55:34.079 --> 00:55:36.079
Genetically, some people don't methylate it.

00:55:36.239 --> 00:55:36.400
Yeah.

00:55:36.559 --> 00:55:39.920
And so then it just builds up in the body and they're not utilizing it.

00:55:40.239 --> 00:55:42.880
Um, so you can get like methylated foliage.

00:55:43.199 --> 00:55:48.159
Um Thorn has the methyl B compact, so you can just take that.

00:55:48.719 --> 00:55:50.159
But do you need that?

00:55:50.719 --> 00:55:52.880
Like, you know, it's not for everybody.

00:55:52.960 --> 00:55:53.920
It's not everybody.

00:55:54.079 --> 00:55:58.159
No, like Gary Brecca makes it like this huge thing, like it's a lifesaver.

00:55:58.400 --> 00:56:05.519
Like like I tested this person for this and they gave them B vitamins and it cured their life, you know.

00:56:05.679 --> 00:56:10.800
Um, which it doesn't really make that much of a difference.

00:56:11.519 --> 00:56:20.159
I've seen people with like significant, like that have like both alleles and really don't late getting them, and then their energy really goes up.

00:56:20.320 --> 00:56:20.559
Yeah.

00:56:20.800 --> 00:56:23.840
But for majority of people, like, is it helpful?

00:56:26.000 --> 00:56:26.719
Six, seven.

00:56:27.039 --> 00:56:34.159
But but it what it's made is that like everyone just like makes methylated, you know, like B complexes.

00:56:34.239 --> 00:56:47.920
So now you could, you know, if you're even worried about it, you don't even need the genetic test, and just take the I use it a lot to scare people, not to take energy drinks, because I'm like, oh, don't take cyano cobalamincy, your body can't use it.

00:56:48.159 --> 00:56:48.800
Yeah.

00:56:49.280 --> 00:56:52.079
That's good because the energy drinks are so bad.

00:56:52.159 --> 00:56:55.280
Yeah, like even the sh like I used to drink the sugar-free ones.

00:56:55.519 --> 00:56:59.840
What if you drink less than four energy drinks a day asking for a friend?

00:57:01.519 --> 00:57:02.239
I'm kidding.

00:57:02.480 --> 00:57:03.039
I'm joking.

00:57:03.519 --> 00:57:04.559
At least you're less than four.

00:57:04.960 --> 00:57:09.440
I just think it used to it it made me want to eat more and eat more sugar.

00:57:09.519 --> 00:57:09.599
Yeah.

00:57:09.760 --> 00:57:10.400
That's all it did.

00:57:10.719 --> 00:57:11.360
Definitely does.

00:57:11.599 --> 00:57:15.119
Like I would just crave like sugar as soon as I got home.

00:57:15.360 --> 00:57:20.320
I just got a caffeine intolerance and I would eat more and more and more until I started like pounding red line.

00:57:20.400 --> 00:57:24.239
And yeah, it's how it goes.

00:57:24.400 --> 00:57:27.199
I I wake up to four shots of espresso in the morning.

00:57:27.360 --> 00:57:27.519
Yeah.

00:57:27.840 --> 00:57:29.119
Well, coffee's good for you.

00:57:29.280 --> 00:57:29.920
Yeah.

00:57:30.239 --> 00:57:34.880
And and then on the drive to work, I have like a 20-ounce Red Bull.

00:57:35.119 --> 00:57:36.480
So it's not good.

00:57:36.800 --> 00:57:36.960
Yeah.

00:57:37.039 --> 00:57:38.079
What are your thoughts on coffee?

00:57:38.400 --> 00:57:38.800
But it's true.

00:57:39.760 --> 00:57:43.679
Like, you know, you hear people that are like, uh, it's good.

00:57:44.239 --> 00:57:53.679
But like I heard you on was it one of your reels or on the podcast saying, like you the first thing you enjoy is like your coffee.

00:57:53.760 --> 00:57:55.199
And I like coffee.

00:57:55.280 --> 00:57:55.519
Yeah.

00:57:55.920 --> 00:57:56.559
What do you have?

00:57:56.719 --> 00:57:59.519
Just this straight up coffee, black coffee, whipped.

00:58:00.000 --> 00:58:00.960
Just black, yeah.

00:58:01.119 --> 00:58:01.280
Okay.

00:58:01.440 --> 00:58:01.679
Yeah.

00:58:01.840 --> 00:58:03.679
I one cup.

00:58:04.000 --> 00:58:04.800
No, no.

00:58:04.960 --> 00:58:06.320
I have like three or four.

00:58:06.639 --> 00:58:07.199
In the morning.

00:58:07.760 --> 00:58:08.000
Yeah.

00:58:08.239 --> 00:58:10.320
I do the layered mushroom coffee.

00:58:10.400 --> 00:58:10.800
I love it.

00:58:10.880 --> 00:58:11.519
It tastes good.

00:58:11.760 --> 00:58:12.159
Oh, yeah.

00:58:12.239 --> 00:58:12.400
Yeah.

00:58:12.480 --> 00:58:13.760
I do that for my wife.

00:58:13.920 --> 00:58:16.400
I make the espresso shots and I put it in there.

00:58:16.559 --> 00:58:17.119
She doesn't know.

00:58:17.360 --> 00:58:24.079
I just started using that as the creamer because it's got like lion's mane and raishy mushrooms still.

00:58:24.239 --> 00:58:24.480
Yep.

00:58:24.719 --> 00:58:25.199
Nobody knows.

00:58:25.679 --> 00:58:29.519
I think the biggest problem with coffee is when you put all the sugars and the creams in it.

00:58:29.920 --> 00:58:33.440
I like a good latte here or there, but my morning is black coffee.

00:58:33.599 --> 00:58:36.639
But the lyrd actually has a lot of sugar in it.

00:58:37.280 --> 00:58:38.480
No, just the coffee.

00:58:39.119 --> 00:58:39.360
Oh.

00:58:39.760 --> 00:58:40.559
I don't use the creamer.

00:58:40.719 --> 00:58:42.000
Oh, the creamer.

00:58:42.079 --> 00:58:42.960
Yeah, the coffee beans.

00:58:43.199 --> 00:58:44.960
Yeah, their creamer has a lot of um.

00:58:45.360 --> 00:58:46.559
She was like, How dare you?

00:58:49.039 --> 00:58:52.639
Their creamer has a lot of um sugar in it.

00:58:52.800 --> 00:58:54.960
Oh, with the amount they tell you to use.

00:58:55.119 --> 00:59:02.159
Not per serving on the bag is actually low, but they tell you to put two tablespoons and that's like a teaspoon.

00:59:02.559 --> 00:59:03.599
Never use their creamer.

00:59:04.239 --> 00:59:04.400
Yeah.

00:59:04.800 --> 00:59:07.039
I just get the beans and make it French crust.

00:59:07.280 --> 00:59:10.320
I I didn't know they yeah, I didn't know what they made their beans.

00:59:11.119 --> 00:59:12.880
I just have espresso shots.

00:59:13.519 --> 00:59:14.000
Black.

00:59:14.239 --> 00:59:22.480
Yeah, I try to wait two to three hours to like so let my cortisol like do its thing before doing my coffee.

00:59:22.880 --> 00:59:28.320
I have a friend that ER doc and that, and he's like, you need to drink water first.

00:59:29.360 --> 00:59:29.599
Yeah.

00:59:29.760 --> 00:59:30.960
I'm like, no, this is me.

00:59:31.360 --> 00:59:33.599
Just balance, a little bit of balance.

00:59:33.920 --> 00:59:37.920
I I think it it works well with overall mood too.

00:59:38.000 --> 00:59:41.840
I think you get a good serotonin dopamine release with it.

00:59:42.000 --> 00:59:47.360
So like overall, like it's no, definitely not your coffee right now.

00:59:47.760 --> 00:59:48.400
Absolutely not.

00:59:48.639 --> 00:59:53.840
I feel best if I like go for a little run, yeah, and then have coffee.

00:59:54.079 --> 00:59:57.119
But I can do that some rings and not all the rooms.

00:59:57.599 --> 00:59:59.840
Yeah, what's a little run for you?

01:00:00.320 --> 01:00:01.440
Five miles.

01:00:03.360 --> 01:00:09.920
It's more than what I will run for the rest of my life, like all put together.

01:00:11.360 --> 01:00:12.639
I hate running.

01:00:13.119 --> 01:00:14.239
Nothing against running.

01:00:14.480 --> 01:00:14.880
It's okay.

01:00:15.199 --> 01:00:15.760
I just hate it.

01:00:16.400 --> 01:00:19.679
We were forced for wrestling, wrestled in college.

01:00:20.000 --> 01:00:24.800
We ran two to eight miles to warm up for practice.

01:00:24.960 --> 01:00:25.119
Yeah.

01:00:25.280 --> 01:00:28.239
And it's just like the whole time, it's like, what the fuck?

01:00:28.400 --> 01:00:32.880
Like, this is this is just so I can go and do excruciating stuff.

01:00:33.199 --> 01:00:33.599
Get beat up.

01:00:34.079 --> 01:00:40.239
And even before then, in in high school, I built up to like 18 miles, something like that.

01:00:40.559 --> 01:00:42.400
And to lose weight.

01:00:42.559 --> 01:00:44.480
It's when I was wrestling like 103.

01:00:44.880 --> 01:00:45.280
Oh my god.

01:00:45.679 --> 01:00:46.719
I was short.

01:00:47.199 --> 01:00:55.440
Um and the last day I ran, it it was it's funny, I keep saying I ran because that's where we're from.

01:00:58.320 --> 01:01:00.320
I ran out like nine miles.

01:01:00.400 --> 01:01:06.320
I was gonna run out like do kind of a marathon 13 miles out, 13 miles back.

01:01:06.719 --> 01:01:15.920
I was nine miles away from the house, and I was just like, I think I'm done running, like I don't want to run anymore.

01:01:16.639 --> 01:01:18.239
And I walked home.

01:01:18.320 --> 01:01:19.360
I didn't even run home.

01:01:19.440 --> 01:01:20.719
I was just like, You're just dying.

01:01:20.960 --> 01:01:22.400
I'm just good, I'm I'm done.

01:01:22.559 --> 01:01:23.920
I'm not doing this.

01:01:24.400 --> 01:01:31.679
And then after wrestling, because uh how much running was involved, I was like, I'm not never running again.

01:01:31.840 --> 01:01:40.320
And I actually did run again like six years after it was in Rhode Island, so you ran halfway across the state.

01:01:40.480 --> 01:01:43.119
Yeah, that is true, that is very true.

01:01:43.199 --> 01:01:54.639
It was like a fifth of of the way Rhode Island's really Rhode Island's like a fifth of the size of Maricopa County, but um it's the size of Phoenix, isn't it?

01:01:55.760 --> 01:01:56.320
Yeah, yeah.

01:01:57.440 --> 01:01:59.119
But yeah, I I don't I don't know.

01:01:59.199 --> 01:02:01.119
It's not it's not for everybody else.

01:02:01.440 --> 01:02:06.320
It's not, it's not, but there's other exercises we could get Jazzer size.

01:02:06.800 --> 01:02:07.679
There you go.

01:02:08.000 --> 01:02:09.599
I'm gonna pick up Zumba.

01:02:09.840 --> 01:02:10.320
My wife was.

01:02:10.960 --> 01:02:14.400
Maybe you wanted one of the like strip pole classes.

01:02:16.320 --> 01:02:26.079
I just went to Cardi B and they had stripopoles like the entire I had a patient for everyone that's watching to use?

01:02:26.400 --> 01:02:29.039
No, they had like no, it's for stage.

01:02:29.119 --> 01:02:31.599
There were like different setups with stripopoles on it.

01:02:31.840 --> 01:02:32.079
Okay.

01:02:32.400 --> 01:02:32.719
Yeah.

01:02:35.039 --> 01:02:38.800
I forget what the patient said, Jed breast dogs.

01:02:39.039 --> 01:02:41.519
Like, it's what I do for fitness.

01:02:41.679 --> 01:02:45.360
I do like pole exercises, and I'm like, what?

01:02:45.599 --> 01:02:47.519
It's like like pole exercises.

01:02:47.679 --> 01:02:56.159
I'm like, I I think I know all different exercise routines, or almost all of them, but what does that mean?

01:02:56.239 --> 01:02:58.639
It's like, oh, you know, dancing with the pole.

01:02:58.960 --> 01:03:00.800
I was like, oh, okay.

01:03:00.960 --> 01:03:02.159
I was like, you enjoy it?

01:03:02.320 --> 01:03:05.039
She's like, yeah, I'm like, go ahead, you can go back to it.

01:03:05.360 --> 01:03:06.480
It's removing.

01:03:06.800 --> 01:03:07.119
Yeah.

01:03:07.280 --> 01:03:10.320
I was just like, just not too much pushing, whatever to you.

01:03:10.639 --> 01:03:12.400
Which you really don't need to do on a pole.

01:03:12.719 --> 01:03:15.119
Like, you're you're more pulling.

01:03:15.280 --> 01:03:15.920
Yeah.

01:03:16.559 --> 01:03:26.639
I'd never be never been big into strip joints, but you always have a friend growing up in a boys' group.

01:03:26.960 --> 01:03:30.719
I just bring up, I have my friend, like, like, oh, what are we doing?

01:03:31.760 --> 01:03:31.920
Yeah.

01:03:32.239 --> 01:03:33.199
What are we doing tonight?

01:03:33.280 --> 01:03:34.079
Oh, strip joints.

01:03:34.320 --> 01:03:36.719
Like, dude, it's 4 p.m.

01:03:37.119 --> 01:03:39.760
Like, no, like, we're not gonna do it.

01:03:40.079 --> 01:03:54.400
But one of the most incredible feats I've seen is I I lived in New Orleans for um six years, and I would end up at strip joints because friends would come in with bachelor parties.

01:03:54.639 --> 01:03:55.679
And you had to go.

01:03:56.639 --> 01:04:03.199
Yeah, it it I never I swear, New Orleans doesn't seem like a place to be able to do it.

01:04:03.440 --> 01:04:18.159
I don't I don't enjoy them because as a plastic surgeon, I'm looking for deformities more than like appreciating it's like, oh man, look at how mobside her boobs are, or this it's oh yeah, that incision looks crazy bad.

01:04:18.480 --> 01:04:35.920
But at one of the clubs, they have like a two to three floor uh pole, and the stripper would go to the top, go upside down, and like suicide drop down and stop with their face like this close to the floor.

01:04:36.159 --> 01:04:39.039
I was like, oh my god, I gotta go with the ATM.

01:04:39.119 --> 01:04:42.480
This start the Soleil shit.

01:04:43.199 --> 01:04:47.920
I've never been until COVID, and everyone was like, No, okay.

01:04:48.079 --> 01:04:49.519
And so I was like, okay.

01:04:49.840 --> 01:04:53.360
And I just was like, wow, they're really strong.

01:04:54.639 --> 01:04:55.840
They're really strong.

01:04:55.920 --> 01:04:57.440
Like to do it for that long.

01:04:57.840 --> 01:05:02.800
Yeah, yeah, the stuff they do is just like even like the Cardi B concert.

01:05:02.880 --> 01:05:06.400
And I I don't know, I she's like six months from pregnancy.

01:05:06.719 --> 01:05:15.840
I'm like, I don't know how you like you gotta really be fit to like be out there and like she's Puerto Rican, it's almost like running the marathon.

01:05:16.559 --> 01:05:21.679
But like for her to carry that ass around, it's like it's even more work.

01:05:21.840 --> 01:05:26.320
I'm like, you just watch her, you're like, holy shit, that seems like it's was it bigger in person?

01:05:26.960 --> 01:05:28.320
Oh, it was freaking huge.

01:05:28.480 --> 01:05:35.280
And then I and and just like you were saying, you notice the deformities, like she's got this huge knot and her right butt cheek.

01:05:35.440 --> 01:05:38.000
And we're sitting in the front, we're sitting in the front row.

01:05:38.400 --> 01:05:40.639
This is why it sucks to be a plastic surgeon.

01:05:40.719 --> 01:05:42.880
You're like, Oh, you're supposed to enjoy this stuff.

01:05:43.519 --> 01:05:44.800
Oh, what's Yeah.

01:05:44.880 --> 01:05:47.440
I tell my wife, I'm like, I'm like, do you see that fat nec?

01:05:47.679 --> 01:05:50.480
That's what the fat necrosis they were talking about, you know.

01:05:50.960 --> 01:05:51.440
Yeah.

01:05:51.760 --> 01:05:54.480
I can't I can't enjoy boobs anymore.

01:05:55.199 --> 01:05:56.000
It's done.

01:05:56.159 --> 01:05:59.119
I left that behind like 15 years ago.

01:06:00.480 --> 01:06:02.719
Terrible, terrible problem to have.

01:06:07.199 --> 01:06:10.719
You're a medical professional that's been through residency and stuff.

01:06:10.960 --> 01:06:17.440
One story I'll share with you is that that same friend that always brings up going the strip joint.

01:06:17.599 --> 01:06:22.400
When I was in medical school, I was just like, Yeah, this sucks.

01:06:22.480 --> 01:06:24.960
I'm two weeks into my obi-guine rotation.

01:06:25.039 --> 01:06:26.239
I can't wait to leave.

01:06:26.400 --> 01:06:28.880
He's like, wait, you look at vaginas all day?

01:06:29.119 --> 01:06:29.760
I'm like, yeah.

01:06:29.920 --> 01:06:32.000
He's like, and that sucks to you.

01:06:32.159 --> 01:06:37.280
I'm like, how many times have you gone to the doctor to tell him how good you feel?

01:06:37.440 --> 01:06:37.760
Yeah.

01:06:37.920 --> 01:06:39.760
This is what we're dealing with.

01:06:39.920 --> 01:06:42.400
It's just this is wrong with my vagina.

01:06:42.559 --> 01:06:44.480
That's wrong with my vagina.

01:06:44.719 --> 01:07:00.639
One lady came in with these, like one lady came in with these small white chalky things coming out, and I'm picking them out with tweezers, and I'm like, like all our textbooks, nothing resembled this.

01:07:00.719 --> 01:07:08.320
I'm like, it's a yeast infection, some type of STD, some type of weird cancer, whatever.

01:07:08.480 --> 01:07:12.800
And I just asked her, I was like, what's going on?

01:07:12.880 --> 01:07:18.960
And she's like, I put some tic-tacks in there, so I figured I'd freshen up for you.

01:07:21.039 --> 01:07:22.000
Are you just joking?

01:07:22.719 --> 01:07:23.280
No, that was wrong.

01:07:23.679 --> 01:07:28.639
That is the one thing I don't miss about the ER is all the things that I have removed from orifices.

01:07:28.880 --> 01:07:41.519
Oh, I had a I I rotated like during plastics residency, spent two months in the ER, but one of the ER residents was notorious for trying to like sign out a bunch of pelvic exams.

01:07:41.599 --> 01:07:43.679
I'm like, dude, I'm an outside rotator.

01:07:43.760 --> 01:07:44.719
That's your exam.

01:07:44.880 --> 01:07:49.920
I do not need to do a single pelvic, uh, one more pelvic exam.

01:07:50.239 --> 01:07:52.639
And and they're just like, you you have to do it.

01:07:52.719 --> 01:07:57.119
I was like, no, you just stored up three pelvic exams.

01:07:57.360 --> 01:07:59.519
I don't, I I will not do it.

01:07:59.599 --> 01:08:05.599
I will I will discharge this patient without doing the pelvic exam if you guys force me to do it.

01:08:05.760 --> 01:08:08.239
And that's how we came across especially the ER.

01:08:08.400 --> 01:08:13.039
Like, I would skate like when I was a sub eye and dude.

01:08:13.119 --> 01:08:14.480
The ER was brutal.

01:08:14.639 --> 01:08:19.199
Yeah, like I I don't know what we would spin through like, uh, not that one.

01:08:19.279 --> 01:08:20.880
There's a lack on the face, I'll fix that.

01:08:21.039 --> 01:08:25.920
You ever you ever yeah, you ever get the patients you have to put the net on their face for spitting?

01:08:26.239 --> 01:08:27.439
Yeah, yeah.

01:08:27.680 --> 01:08:33.119
Yeah, we had a especially in Seattle, they were all angry and drunk and wanted to spit at us.

01:08:33.279 --> 01:08:35.119
Yeah, or are high on drugs.

01:08:35.359 --> 01:08:36.319
Yeah, yeah.

01:08:36.560 --> 01:08:42.560
But there was one that I swear was demon-possessed, like crawling up the wall, hanging from the ceiling.

01:08:42.960 --> 01:08:43.600
Yeah.

01:08:44.079 --> 01:08:46.239
That was that was like we ended intubating them.

01:08:46.319 --> 01:08:50.239
Yeah, like wait, you end up oh, you had to sedate them and intubate them.

01:08:50.479 --> 01:08:52.000
Yeah, that makes sense.

01:08:52.399 --> 01:08:54.720
We had we had a couple like those.

01:08:54.880 --> 01:09:06.560
Yeah, yeah, like the psych rotation, like you you're like, oh, I read this in the books, but people are like really like it's like I was it really happens, I was freaking scared shitless.

01:09:06.640 --> 01:09:16.399
They put me in this room with this like huge lady, and she starts talking to some something else, and like I was like, Oh my god, am I safe?

01:09:18.079 --> 01:09:34.720
The problem with ER is like everything with any other specialty outside of ER, things are kind of packaged up for you, yeah, or you're told to take care of certain parts in the ER, you're like just taking care of any type of madness that comes out.

01:09:35.039 --> 01:09:50.079
Had a patient that kept getting brain bleeds because he would get drunk, talk a bunch of crap, and eventually he needed a craniotomy and and lost the bone flap.

01:09:50.239 --> 01:09:52.319
So he had a soft spot over here.

01:09:52.880 --> 01:10:12.640
And I I just I knew him because of my neurosurgery rotation, and this guy would be just like yelling all these obscenities, and the neurosurgery staff would press on a certain part of his frontal lobe, and he would shut up and just be normal.

01:10:13.119 --> 01:10:13.920
Oh my god.

01:10:14.560 --> 01:10:25.920
And I see this guy coming to the ER and he's just yelling, like he called me the N-word, like no less than 45 times as a white dude.

01:10:26.079 --> 01:10:28.640
I'm like, dude, he's he's kind of off.

01:10:28.800 --> 01:10:31.439
If you guys can't tell, he's a little bit off.

01:10:31.680 --> 01:10:33.760
Like he's called me the N-word.

01:10:33.840 --> 01:10:42.560
I'm a couple shades lighter, and he's actually called me the N-word with an R, like he really thinks I'm black.

01:10:43.199 --> 01:10:44.239
Need to calm him down.

01:10:44.399 --> 01:10:46.319
Just like, no, we gotta give him more drugs.

01:10:46.399 --> 01:10:53.119
And they kept like pounding him with all this uh Haldol and stuff, and not calming down.

01:10:53.279 --> 01:10:55.920
I'm like, oh, I remember what works for him.

01:10:56.079 --> 01:11:06.880
And I went and just pushed on his brain on that same spot, and it worked, it worked, and then all the ER docs are like, No, you can't do that.

01:11:07.039 --> 01:11:10.000
I was like, No, I've seen a neurosurgeon, tubis.

01:11:10.640 --> 01:11:12.319
It was like an off button.

01:11:12.399 --> 01:11:13.439
I couldn't believe it.

01:11:13.600 --> 01:11:16.079
He's just like, hey, how are you guys doing?

01:11:17.039 --> 01:11:17.680
Wow.

01:11:18.880 --> 01:11:19.439
Wow.

01:11:19.760 --> 01:11:23.520
It's my weird ER stories to finish the episode off.

01:11:24.159 --> 01:11:26.560
Aren't we glad I were not there anymore?

01:11:26.880 --> 01:11:27.920
Yeah, you miss it.

01:11:28.000 --> 01:11:29.439
You definitely I'm kidding.

01:11:29.600 --> 01:11:29.840
Nope.

01:11:30.079 --> 01:11:30.800
It's it's tough.

01:11:30.960 --> 01:11:31.520
It's tough.

01:11:31.760 --> 01:11:33.039
I'll stick with the peptides.

01:11:33.279 --> 01:11:33.840
Yeah.

01:11:34.239 --> 01:11:35.760
Well, thanks for coming by.

01:11:36.159 --> 01:11:36.880
Oh, thank you.

01:11:37.279 --> 01:11:40.319
Where else can people find your material?

01:11:40.560 --> 01:11:44.319
You're on Instagram or Yeah, I'm on Instagram.

01:11:44.479 --> 01:11:51.039
Um PWR.phx is the business one, and then mine is dr.mcall.neally.

01:11:51.359 --> 01:11:51.520
Okay.

01:11:51.920 --> 01:11:53.119
On TikTok that too.

01:11:53.279 --> 01:11:56.720
And then I have a podcast, um, Sassy and Strong with Dr.

01:11:56.800 --> 01:11:57.279
McCole.

01:11:57.520 --> 01:11:57.600
Okay.

01:11:57.760 --> 01:11:58.000
Nice.

01:11:58.159 --> 01:12:01.760
And hopefully next year I'll have a book coming out called Why We Run.

01:12:02.319 --> 01:12:04.319
Um, it's an anthology, so there's several authors.

01:12:04.560 --> 01:12:05.520
Um really fun.

01:12:05.840 --> 01:12:06.720
It's funny you say that.

01:12:06.800 --> 01:12:10.000
I'm just about to release a book saying why I don't run.

01:12:12.319 --> 01:12:13.439
They can come out together.

01:12:14.239 --> 01:12:16.960
But your podcasts are you can bad into all platforms.

01:12:17.199 --> 01:12:18.239
All platforms, yeah.

01:12:18.399 --> 01:12:18.640
Yeah.

01:12:18.960 --> 01:12:19.199
Okay.

01:12:19.680 --> 01:12:20.479
So go check it out.

01:12:20.720 --> 01:12:22.319
Just around the corner by Encanto Park.

01:12:22.479 --> 01:12:23.279
Yeah, there we go.

01:12:23.760 --> 01:12:24.720
Thank you so much for coming.

01:12:25.359 --> 01:12:26.239
Thank you so much, guys.

01:12:26.479 --> 01:12:27.520
Makes me neat.