PEPTIDES FOR RUNNERS: WHAT YOU NEED TO KNOW

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Starts nervously.

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I trust you.

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Not sure I should, but I am.

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So you guys were talking about you moved here from Seattle or?

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I lived in Seattle for a little bit.

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Yeah.

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They asked when I came to Arizona.

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Okay.

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And I was here like 10 years and then up in Seattle for a little bit.

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Okay.

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Then I was in California with COVID.

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And then I came back here.

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Back here.

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Yeah.

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How long have you been here since California?

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Uh 2020.

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I moved back here.

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And I have a little like functional medicine practice right by Encanto Park.

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Okay.

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Okay.

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Yeah.

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And you were ER doc before?

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I was.

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Yeah.

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I did 15 years ER.

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Okay.

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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.

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Okay.

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And California didn't want to know what to do.

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So they're like, just keep them alive.

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And one of the docs that I worked with did concierge like IV vitamins.

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And um, so we started doing like the monoclonal antibody.

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We started doing some high-dose vitamin C.

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We did a lot with vitamin D.

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Yeah.

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Um, and it was just amazing the difference in people and how well they responded to to just vitamins.

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And I was like, I want to do this.

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I'm tired of the ER.

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So I I did.

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There are a lot of people from ER transitioning into well, it's all different aspects, even like pain, pain mean management, anesthesia, ER.

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I have a friend that like I I always go and talk about like peptides and everything.

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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.

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They're like, all right, I'm tired of this.

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But there are a lot from the ER.

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Yeah.

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I think our brains just get one, we get burned out.

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Yeah.

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Oh, yeah.

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It's really easy to burn out.

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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.

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It's crazy.

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Like the amount of things.

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I was gonna say we gotta dive deep in your regiment.

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You spent 15 years in the ER and still look this good and young.

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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.

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Yeah.

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Oh, getting out of the ER really helped.

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Yeah.

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Yeah.

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So what other than um how did you transition over to doing wellness from I kind of learned it on my own.

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Like I did a lot with A4M.

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Yeah.

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Um like I just went to their conference in December.

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Yeah.

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Um, I started picking other doc's brains.

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Like even in COVID, yeah, um, I got my MBA while I was there because I was ready to quit medicine, honestly.

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I was like, I'm I'm done.

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Anything.

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So I was like, I'll do business.

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That sounds like fun.

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Um, but then it kind of morphed into, well, I'll do business, but I'll use medicine as my business.

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And so um, yeah, talking to people, I made a huge business mistake.

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My first step out is I actually bought into a franchise.

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Okay.

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And it was it it always seems it's it seems a lot better than it is.

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Yeah.

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Yeah.

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Yeah.

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Yeah.

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And it was, I was like not supported.

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They had me set things up horribly.

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It was a lot of aesthetics and a lot on group on.

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I'm like, this is not what I wanted to do.

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Yeah.

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Okay.

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Yeah.

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So I was paying people to come see me.

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Yeah, that that's the thing.

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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.

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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.

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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.

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They're like, Oh yeah, we'll buy you a red light bed and a hyperbaric and like get you set up.

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You just have to pay this franchise fee.

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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?

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Yeah, it all it did was really get me uh a lot of debt.

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Yeah, but I learned a lot and I tend to learn things the hard way in my life.

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So like all right.

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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.

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Yeah, like our younger brother, he's in academic neurosurgery.

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I knew I was gonna set something wrong.

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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.

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And he's like he gets little promotions, but it's like uh yeah, for what he went through as well.

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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.

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So it kind of taught me the hustle, and it was in New York, so it taught me the hustle even more.

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Yeah.

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Then you know, you go to a lot of these academic places and they teach you how to hate private practice.

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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?

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Yeah, yeah, it's just business management.

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You're never taught that in residency.

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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.

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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.

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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.

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And even like for us, it's like patients coming in, right?

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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.

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But we want you to be happy with what you did.

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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.

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I need to listen to things two or three times, 3x speed to actually like be able to pay attention to it.

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But like I go there for the vendors.

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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.

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You learn so much from it.

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I I'm the same.

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Like honestly, I go to the conferences to meet people and like pick their brains.

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Yeah, I think I learn more at the conferences from like sitting in the lounges and yeah, talking with people and making new connections.

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Yeah, and then I just get the lectures and I listen to them later.

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Yeah, that on demand.

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Oh yeah, yeah, yeah.

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Yeah, it's like just I I'm like, do these people really talk this slow?

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You know, like when you're like listening to it, I'm like, you know, when you have it hyper speed.

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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?

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So I am completely fascinated with the brain right now and how our brain health like plays into longevity.

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Yeah.

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So I really enjoyed learning some of the studies they're doing with like psychedelics and brain health.

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Okay.

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Um I've been doing those studies since high school.

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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.

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But yeah, no, Harvard's doing a lot right now.

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Um, and so that was really fascinating to me.

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Anything specific about that, like specific type of psychedelics and for what they were being used for?

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Um so a lot are being used for more like um resistant depression, PTSD.

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I don't know exactly which which strain of mushrooms or anything.

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No, no, I I know that, but I I don't know anything about that either.

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But um is it just mushrooms or is there anything on ketamine?

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A lot on ketamine.

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I actually have just added ketamine into my prototype.

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Nice, yeah.

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Um I did a journey last year.

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Um, it was really healing.

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Um, and I think ketamine works really similar to the psychedelics because it raises like BDNF.

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Yeah.

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Um, so you create these new neuropathways and you know the hot topic of neuroplasticity.

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Yeah.

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Um, but it really was like a reset button.

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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.

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It's like the guided trip.

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Yeah.

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Did you do a single thing or was it like few?

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Do you have to do like a cycle of I guess?

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I did mine a single.

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Oh yeah.

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And then it was like a month of coaching afterwards.

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Um, and I'm doing like training through conscious ketamine.

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Okay.

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Um, and that's more kind of the model for that.

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Yeah.

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Um, I've also um Dr.

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James is in Scottsdale, and he does more of the IV and does like six IV treatments in a row.

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Yeah.

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Um and then you meet with a coach.

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I think it varies depending on what he's treating.

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Um, and like he'll meet with the patient and kind of figure out a program.

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Yeah, it's usually I think like a lot of people just go and try it out.

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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.

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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.

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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.

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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.

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She doesn't want to see patients really, she likes just putting them to sleep.

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So I'm like, we we gotta start doing this because it it's like becoming more and more popular.

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Yeah.

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More and more people are doing it.

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Like five years ago.

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Yeah.

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And I think it works.

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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.

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Exactly.

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Like pretty much a walking vegetable.

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TMS, I think, works.

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Like ETL just came out with the ExoMind.

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Yeah, and I would love that machine and combine that TMS.

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I was trying to buy that for myself, not like just to try it out.

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Yeah, but I was like, all right, that's a too much for yeah.

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I was about to buy it and come to my clinic.

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Yeah, yeah.

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What does TMS stand for?

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Oh, uh I don't know.

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That would be a good question that I should be able to answer.

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Bring the reps.

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It's like let me dial the reps.

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It's almost like you know waves through your brain.

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Yeah, yeah, yeah.

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Almost yeah, pretty, you know, you have examine.

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Yeah, but it's pretty much like m sculpt for your brain.

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Oh, so it stimulates that left prefrontal cortex and just helps create new neuropathways again.

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Yeah.

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Yeah.

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So but yeah, they charge like I think it's$300,000.

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The examine, right?

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Yeah, yeah.

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It's like$300,000.

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And we have the M sculpt.

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And like, yeah, they you kind of so I just use the M sculpt and zap my head once in a while.

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We have the M Cela.

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I've tried lay laying my head on it, it doesn't work.

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You gotta sit on that.

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It's you gotta do full-on headstands on it.

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Yeah, it's yeah, we have the M Cella too.

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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.

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The only ROI is I get a six pack when I go to the beach.

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Yeah, that's the only thing.

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Like otherwise it's a great machine, but I I don't know.

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We don't want to mark you know to market it and then everyone's just bringing other stuff, yeah.

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Like if we can be a gamma last leader.

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We just include it in some other packages and stuff.

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Um just like our hyperbarracks, red light.

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Those actually the return on investment on those have been great.

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Yeah, uh the best ones.

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Um they'll pretty much pay themselves off in less than a year.

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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.

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They're crazy.

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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.

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And that was one of my big mistakes of the franchise.

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They're like, Oh yeah, get that.

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And then I bought into it.

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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.

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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.

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Yeah.

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Oh, it's only seven thousand dollars of treatment.

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Oh, everyone's charging that.

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We have we have very limited devices, especially for a plastic surgery clinic.

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Like uh because that's why we've div dove more into wellness because it's just much better.

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And also, we don't really need staff.

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You you know, you need an aesthetician for a lot of these other things, yeah.

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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.

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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.