Latest / The Driven Athlete / Regenerative Care Insights - Your Body Isn't Broken, Ask Better Questions | Ep 101

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Regenerative Care Insights - Your Body Isn't Broken, Ask Better Questions | Ep 101 · The Driven Athlete

0:00
SPEAKER_02: If you're a driven, active person who wants to reach and pursue a higher quality life with some ambition, then guess what?
0:06
SPEAKER_02: This podcast is for you.
0:08
SPEAKER_02: This is the Driven Athlete Podcast.
0:12
SPEAKER_02: What's up, y'all?
0:12
SPEAKER_02: Jamein Dr.
0:13
SPEAKER_02: Kyle.
0:14
SPEAKER_02: Welcome back to the Driven Athlete Podcast.
0:16
SPEAKER_02: We got Nicole and Joe with us, owners of R3 Health and Med House here in West Palm Beach.
0:21
SPEAKER_02: They're super busy.
0:22
SPEAKER_02: So I'm super glad that y'all can come in here and shed some lighted insights on what y'all do and then how you know we can help people in the community.
0:30
SPEAKER_00: Thanks for having us.
0:30
SPEAKER_00: Yeah, we're so glad to be here.
0:32
SPEAKER_02: We haven't had you guys at the same time, I don't think.
0:34
SPEAKER_00: Yeah, no, not many people get used anyways, other than our kids.
0:38
SPEAKER_02: This is a rarity, guys.
0:40
SPEAKER_02: So save this one.
0:42
SPEAKER_02: Um well yeah, thanks for coming again.
0:43
SPEAKER_02: So tell us guys like where you're located and then what medhouse and R3 Health, like what that is.
0:48
SPEAKER_00: Um, we're located downtown West Palm Beach on the corner of Belvedere and Dixie.
0:53
SPEAKER_00: Um, we're in a freestanding building right there, and that's where MedHouse and R3 Health are.
0:58
SPEAKER_01: Yeah.
0:58
SPEAKER_01: Yeah.
0:58
SPEAKER_01: And so I guess the simplest way to kind of say what we do, who we are, is so we're an integrative and regenerative medicine practice.
1:05
SPEAKER_01: And so basically what we do is we help people understand how their bodies are aging, why their bodies are aging, and then help put together individualized programs to slow aging down and reverse it.
1:16
SPEAKER_01: So, you know, we're kind of a really cool, unique health care facility in the sense that we do medicine.
1:23
SPEAKER_01: So I think one of the things that we don't love is when people think of us as like a med spa.
1:28
SPEAKER_01: We're not a med spa.
1:29
SPEAKER_01: We hate that.
1:29
SPEAKER_01: Okay.
1:30
SPEAKER_01: Um, so we're a really unique situation because we really blend medicine with a lot of the longevity tools that are out now.
1:38
SPEAKER_01: And you know, you go to Instagram and you see all these like cold plunge sauna places popping up.
1:43
SPEAKER_01: So we have all that stuff kind of on the longevity side, but we're really rooted in and kind of the foundation is the medical side of what we do.
1:51
SPEAKER_02: Gotcha.
1:51
SPEAKER_00: So med house being the uh regenerative, I mean the uh the uh therapies, the modalities for we wanted to bring all the biohacking tools in one facility because when we were just a medical practice, me and Joe were sending people out to go every day.
2:06
SPEAKER_00: Yeah.
2:07
SPEAKER_00: So one day we were like, why don't we have all this?
2:09
SPEAKER_00: Like, why don't we create a world?
2:10
SPEAKER_02: Just keep it in house.
2:11
SPEAKER_00: Yeah, keep it in-house.
2:12
SPEAKER_02: And then that those that's driven by our three health medical side for uh driving directional care for patients.
2:20
SPEAKER_02: Yeah.
2:20
SPEAKER_01: We all started.
2:21
SPEAKER_01: Yeah, exactly.
2:22
SPEAKER_01: And again, you know, we're we're medicine, right?
2:24
SPEAKER_01: So we're not like an IV clinic where you just go get a hangover bag, you know, we're rooted in medicine, which I'm sure we're gonna get into today.
2:32
SPEAKER_01: Um, but really that's the foundation of everything.
2:34
SPEAKER_01: So that way we can put together, you know, individualized programs for people and everything from which I'm sure we'll talk about, but nutrition and supplements and hormone balancing therapies and peptides and IVs and all the things.
2:47
SPEAKER_02: Yeah, no, totally.
2:48
SPEAKER_02: Yeah.
2:48
SPEAKER_02: Regenerative medicine, um, what how do you what do y'all do with for that?
2:53
SPEAKER_01: A lot of different things.
2:54
SPEAKER_01: So I think it just deter depends on what you're considering regenerative medicine, right?
2:58
SPEAKER_01: Some people think of regenerative medicine as, you know, longevity IVs, you know, peptides like epithalon or ozone or methylene blue.
3:07
SPEAKER_01: Some people look at regenerative medicine more so with things like stem cells and exosomes and NAD and stuff like that.
3:14
SPEAKER_01: We kind of do it all.
3:16
SPEAKER_01: So it really just ultimately we want to look at everyone's individual goals and help them kind of get to the place that they want to be.
3:23
SPEAKER_00: We have so many people come in at so many different stages.
3:25
SPEAKER_00: We'll have the person who is pretty healthy and they just want to really optimize, which I'm sure you'll dive into later.
3:32
SPEAKER_00: And um, we then we have the people who their life is a mess.
3:35
SPEAKER_00: They've gone to every doctor, every specialty.
3:38
SPEAKER_00: They they've tried, you know, acupuncture, they've done everything in their life, it's just not making sense.
3:43
SPEAKER_00: They still have the same problems.
3:45
SPEAKER_00: So again, like you said, regenerative is very different for everyone.
3:49
SPEAKER_02: Different people, yeah.
3:50
SPEAKER_00: And what they're coming in for.
3:51
SPEAKER_02: So let's dive into that.
3:52
SPEAKER_02: So what do people because I've heard that story a bunch too from like a pain, like a muscular neuromusculoskeletal pain.
3:58
SPEAKER_02: Hey, my back still hurts or my shoulders still bother me, and I can't play tennis or like, you know, exercise like I want to.
4:04
SPEAKER_02: Nothing's worked.
4:04
SPEAKER_02: MRIs, imaging is negative.
4:06
SPEAKER_02: I've got every specialist.
4:07
SPEAKER_02: You're my last hope.
4:09
SPEAKER_02: For you guys, what is that?
4:10
SPEAKER_02: And what do you typically see?
4:12
SPEAKER_01: Yeah.
4:12
SPEAKER_01: So I mean, again, in that situation, we're looking for underlying contributors as to why is this patient not healing, right?
4:18
SPEAKER_01: I had a patient the other day who, you know, was not healing, had a nagging knee injury, right?
4:24
SPEAKER_01: Imaging was not really impressive.
4:26
SPEAKER_01: You know, they just couldn't figure out why this guy wasn't getting better.
4:30
SPEAKER_01: You know, he had, again, we'll talk about this, I'm sure, but like really high cortisol levels, really high inflammatory markers.
4:37
SPEAKER_01: He was nutrient deficient, right?
4:39
SPEAKER_01: And this is like a 32-year-old healthy guy.
4:42
SPEAKER_01: So, like, even the young ones, you know, we still cannot, you know, slow down that healing process if we're not, if our body is not supported the right way.
4:51
SPEAKER_00: Sometimes more the young ones.
4:52
SPEAKER_00: I feel like the old ones like they'll truck through anything.
4:55
SPEAKER_01: It's kind of true.
4:56
SPEAKER_01: Yeah.
4:56
SPEAKER_01: The young ones ultimately think that they're like, you know, superhuman and like nothing phases them, or I'm young and healthy and super fit, but like, so I have to be, you know, strong and healthy, but they're sometimes the worst ones.
5:09
SPEAKER_02: Is it like an expectation thing?
5:10
SPEAKER_02: Like I shouldn't be feeling what I'm feeling, comparison on social media, I would assume, or as in like, um, I'll heal up tomorrow, like I'll be fine.
5:19
SPEAKER_02: And it doesn't go away.
5:20
SPEAKER_00: Or they just think of it as an isolated, you know, like my knee hurts rather than like, let's look at the whole picture of what's going on with you and contributing.
5:28
SPEAKER_02: I see.
5:29
SPEAKER_02: I gotcha.
5:30
SPEAKER_02: So, with uh with the young patients like that, like what do you do?
5:34
SPEAKER_02: What would you recommend for that guy?
5:35
SPEAKER_01: So that's a person who needs like a good, kind of thorough workup, right?
5:39
SPEAKER_01: They need to get some blood work done, evaluate kind of where their body is like as a whole, you know, nutrients, inflammation, hormones.
5:47
SPEAKER_01: Uh, we had a patient the other day, same type of scenario, just migratory joint pain, you know, knees, shoulders, hips, feeling run down, sluggish, like doctors couldn't find anything.
6:00
SPEAKER_01: She came in.
6:01
SPEAKER_01: We did ended up doing an advanced panel.
6:03
SPEAKER_01: She had chronic Lyme.
6:04
SPEAKER_03: Wow.
6:05
SPEAKER_01: And this is a Floridian who doesn't really travel, Lyme.
6:10
SPEAKER_03: Wow.
6:10
SPEAKER_01: So, like again, you know, without kind of digging in and really looking at the body whole picture, sometimes you kind of miss the underlying issue.
6:17
SPEAKER_01: Yeah.
6:18
SPEAKER_00: Mold we see people with all these, you know, we're in Florida mold, like it's it's linked to so many different things that's going in their body.
6:26
SPEAKER_02: So it from a message that I've heard, a theme from you guys and other practitioners are similar.
6:31
SPEAKER_02: It's like um nutritional, um, set things that are are holding people back they don't know otherwise, that kind of may be contributing to limiting their uh healing potential and then chronic inflammatory responses in their body that's then proliferating the vulnerable areas to just not get better and expose pain.
6:49
SPEAKER_02: And then environmental toxins like mold or pesticides, like just environmentally in the in the air, all those things kind of contributing together.
6:56
SPEAKER_02: And then the last thing that I've heard, I remember you said too, like with cortisol would be like, I mean, stress anxiety, yeah, the mental health component, where it's like all those golden BBs that all add up when it's like this, that's the all those things combined is the problem, versus like, oh, there's the magical pill, or like that's the magic image that's exposing the problem.
7:14
SPEAKER_02: It's like actually it's everything.
7:16
SPEAKER_04: Yeah.
7:16
SPEAKER_02: So what do you um with with chronic Lyme?
7:19
SPEAKER_02: Tell people about chronic Lyme disease.
7:21
SPEAKER_01: So chronic Lyme is a is a really kind of nasty bug, to be honest.
7:26
SPEAKER_01: Um, and again, even when you're not thinking you don't you don't necessarily live or reside in like a Lyme area, right?
7:32
SPEAKER_01: People think about Lyme's disease as like a northeast thing, right?
7:35
SPEAKER_01: Or a Midwest thing.
7:37
SPEAKER_01: Uh, but Lyme's, you know, is kind of this umbrella where there's a lot uh these tick-borne illnesses, right?
7:42
SPEAKER_01: And so we have ticks down here.
7:44
SPEAKER_01: Um, so chronic Lyme oftentimes goes undetected because we don't think about it in this part of the country.
7:51
SPEAKER_01: Um, but you know, Lyme's disease, if it's not detected originally, can really turn into a chronic condition where it really affects your musculoskeletal system and your neurologic system.
8:01
SPEAKER_01: So this patient that I'm referencing had these chronic, you know, on and off joint issues and musculoskeletal issues and saw, you know, immediate thought is okay, let's go see the orthopedic.
8:11
SPEAKER_01: Right.
8:12
SPEAKER_01: Orthopedic says, okay, well, everything looks fine.
8:14
SPEAKER_01: So I don't know what to tell you.
8:16
SPEAKER_01: Um, primary says, okay, your basic blood work looks fine.
8:20
SPEAKER_01: I don't see any issues.
8:21
SPEAKER_01: I don't know what to tell you.
8:22
SPEAKER_01: And then so, you know, again, we we look at the symptoms, we look at, you know, okay, this has been ruled out.
8:28
SPEAKER_01: This has been ruled out.
8:29
SPEAKER_01: We got to think outside the box a little bit.
8:31
SPEAKER_01: And that's how, you know, this presents.
8:33
SPEAKER_01: But chronic Lyme can really affect your muscoskeletal system and your neurologic system big time.
8:39
SPEAKER_02: What do you do for it?
8:40
SPEAKER_01: Tons of different ways that you can approach it.
8:43
SPEAKER_01: Um, we do a lot of uh ozone in particular for chronic Lyme.
8:47
SPEAKER_01: Uh, a lot of times you can do other non-in-you know kind of biologic goods, like we'll do low-dose ivermectin.
8:54
SPEAKER_01: We do a lot of ozone, we do a lot of glutathione, we sometimes do binders, and then just really supporting the body as a whole, like keeping the immune system strong.
9:04
SPEAKER_01: We love doing hyperbaric oxygen, um, lots of really cool stuff that we can ultimately throw at Lyme.
9:10
SPEAKER_01: It just really depends on how severe, how long it's been in place, are there co-infections with other tick-borne illnesses?
9:18
SPEAKER_01: Um, but yeah, it can be treated very successfully, even if you present, you know, kind of in a chronic timeline.
9:24
SPEAKER_02: Explain ozone therapy.
9:26
SPEAKER_01: Ozone.
9:27
SPEAKER_01: So ozone is great.
9:28
SPEAKER_01: Uh, ozone is essentially the process where, you know, so you can do ozone a couple different ways.
9:34
SPEAKER_01: You can do ozone for IV purposes, which is where we actually take out your whole blood.
9:39
SPEAKER_01: Uh, and then what we do is we combine your whole blood with the ozone gas.
9:44
SPEAKER_01: So think of ozone, the the air that we breathe is oxygen two.
9:48
SPEAKER_01: It's got two oxygen molecules.
9:50
SPEAKER_01: Ozone is O3.
9:52
SPEAKER_01: So by adding an extra oxygen molecule, it actually changes the way that it works in the body, and it has a very strong affinity to connect and bind with our red blood cell.
10:02
SPEAKER_01: So we combine the ozone gas with your whole blood.
10:06
SPEAKER_01: That ozone then diffuses into your red blood cell, hyperoxygenates that red blood cell, and then we transfuse that hyper-oxygenated red blood cell back into you.
10:16
SPEAKER_01: And oxygen basically is the strongest antimicrobial.
10:20
SPEAKER_01: So it kills everything.
10:22
SPEAKER_01: It's why you were hearing a lot about uh in COVID where they were using the ozone things to clean the planes and it kills everything.
10:31
SPEAKER_00: Makes it an environment that they can't survive in.
10:33
SPEAKER_01: Yeah.
10:34
SPEAKER_01: Correct.
10:34
SPEAKER_01: And so ozone is a great tool to get rid of the very difficult spirochetes of Lyme's disease, uh, which is why we have a lot of success with it.
10:43
SPEAKER_02: Interesting.
10:43
SPEAKER_02: And then you mentioned mold.
10:45
SPEAKER_02: Uh that would just come from I mean, I would imagine like inhaling or just being in an environment where mold unknowingly detected is in the environment and it's just harbored and built.
10:56
SPEAKER_02: How does that come about?
10:57
SPEAKER_02: Like, how does that uh present?
11:00
SPEAKER_01: Yeah.
11:00
SPEAKER_01: So even just here, being in Florida, like you were saying earlier, the environment, the humidity and the moisture, just just being exposed to stuff like that, where mold is more vulnerable to be present and growing.
11:13
SPEAKER_01: Uh, and again, it has nothing to do with hygiene.
11:15
SPEAKER_01: I think there's this misconception of everyone thinks about mold as being like in the world.
11:18
SPEAKER_01: Yeah, we're in Florida, right?
11:19
SPEAKER_01: It's just it's just a product of the environment, humidity, moisture, dryness.
11:25
SPEAKER_01: Um, and so mold is a very common thing.
11:27
SPEAKER_01: So it's either from an environmental exposure, or the second reason that mold can overpopulate or take over our body is that our immune system, our natural defense to combat it or fight is weakened.
11:40
SPEAKER_01: So it can be one or both of those scenarios.
11:43
SPEAKER_01: You know, we get exposed to mold all the time.
11:46
SPEAKER_01: You wouldn't even know it through products.
11:48
SPEAKER_01: Think about like coffee beans and things that get imported from these, you know, moist, you know, shipping containers and stuff like that.
11:56
SPEAKER_01: But a lot of times our immune system will defend and fight it off so that it doesn't overgrow and start to affect our body.
12:03
SPEAKER_01: So the mold can either be from just like a chronic exposure that's overtaken, or because possibly your immune system hasn't been able to defend and compromise.
12:12
SPEAKER_01: Yeah.
12:12
SPEAKER_00: Which would explain you see, like a couple, they live in the same house, and one person is all the all these symptoms and the other person's just fine.
12:19
SPEAKER_02: Yeah.
12:20
SPEAKER_02: So what do you so it's interesting, is like you would have to dive into like all right, they have this mold.
12:25
SPEAKER_02: It seems like they're harboring mold causing these symptoms.
12:28
SPEAKER_02: Um investigate, like, oh, it's it's the immune system's compromise.
12:32
SPEAKER_02: We have to fix the immune system problem.
12:33
SPEAKER_02: And then of course, like if there's legit mold like in the house, I can rid of that.
12:37
SPEAKER_02: Or if there's a substance that's produced, like that's uh proliferate in the mold to begin with.
12:42
SPEAKER_02: Yeah.
12:42
SPEAKER_02: Um, but what like with mold harboring, does it just find areas to harbor in the body that are the most vulnerable?
12:49
SPEAKER_01: Like, what's it do?
12:51
SPEAKER_01: Essentially, yeah.
12:52
SPEAKER_01: So mold is is a very interesting kind of pathogen where it it's sneaky.
12:56
SPEAKER_01: It's very sneaky.
12:57
SPEAKER_01: We know that it actually likes to live in certain parts of our body, like our joints.
13:02
SPEAKER_01: Uh, it can get past the blood brain barrier, so it can really affect our cognition and our neurologic system.
13:08
SPEAKER_01: Um, but it ultimately just puts more stress on the body as a whole.
13:12
SPEAKER_01: Um, and so it really then starts to kind of accelerate a lot of those age-related changes in some of those organ systems, but it can be difficult, really difficult.
13:21
SPEAKER_01: Uh, and again, it's it's one of those things that typically is not found.
13:25
SPEAKER_01: So people live with this chronic overinfestation of mold throughout their body, and that's why it progresses, and that's where it can be very difficult to treat.
13:33
SPEAKER_01: And people see as kind of long-term or moderate to severe mold exposure.
13:38
SPEAKER_00: I even had it's hard to find too.
13:40
SPEAKER_00: Like, you know, it is hard to find people think it's like voodoo-y, and like, you know, like, oh, they're just like they think what we do is crazy.
13:47
SPEAKER_00: Like, we don't have mold.
13:48
SPEAKER_00: Like, how are you gonna find it?
13:49
SPEAKER_01: I had I had one patient who we actually found out the exposure was coming from her car.
13:54
SPEAKER_01: Interesting.
13:55
SPEAKER_01: It wasn't even the house, it was a car.
13:57
SPEAKER_01: Wow.
13:58
SPEAKER_01: It was a snowbird.
13:59
SPEAKER_01: She left the car here over the summer.
14:01
SPEAKER_01: It sat not being run, and the heat, humidity, moisture, and it just, yeah, it was coming from the car.
14:08
SPEAKER_02: How do you two questions?
14:09
SPEAKER_02: How do you detect it in somebody?
14:11
SPEAKER_02: And then it was like, oh, positive test right here, mold.
14:14
SPEAKER_02: And then how'd you find out it was a car?
14:16
SPEAKER_01: So, by process of elimination, you know, that patient had the mold, uh, had the house tested.
14:21
SPEAKER_01: Um, she had, you know, the backyard tested.
14:24
SPEAKER_01: She we did, you know, all kinds of environmental exposure tests.
14:28
SPEAKER_01: And ultimately she's like, Hmm, you know, I really feel worse when I'm in the car.
14:35
SPEAKER_01: And as crazy as that sounds, she's like, okay, we got to test the car.
14:38
SPEAKER_01: Yeah.
14:39
SPEAKER_02: Wow.
14:40
SPEAKER_02: Interesting.
14:40
SPEAKER_02: And then how do you treat it?
14:42
SPEAKER_01: So it's kind of a throw the kitchen sink at it.
14:45
SPEAKER_01: You know, mold develops what are called spores, and spores are like cockroaches.
14:49
SPEAKER_01: They're like impossible to kill.
14:51
SPEAKER_01: So again, you you go to things like ozone, you go to things like chelation, you go to things like supporting just the innate immune system.
14:58
SPEAKER_01: Um, just doing what you can to really help the body as a whole.
15:02
SPEAKER_02: Interesting.
15:03
SPEAKER_02: So, how does she feel now?
15:04
SPEAKER_02: So much better.
15:05
SPEAKER_02: So, like you started introducing these therapies, and then after a week, two weeks, a month.
15:11
SPEAKER_00: It takes a little bit.
15:12
SPEAKER_01: Yeah, it takes some time, definitely.
15:13
SPEAKER_01: Mold.
15:13
SPEAKER_01: Because again, most people with mold will present in that very like severe case because it's been so long.
15:19
SPEAKER_01: Yeah, symptoms-wise, like what it just lethargic.
15:22
SPEAKER_00: Oh, like foggy, like they're living in a cloud.
15:25
SPEAKER_01: Yeah, it's really the brain fog, the the memory, the recall, it's fatigue, it's random skin stuff.
15:32
SPEAKER_01: It's very like non-specific symptoms, which is why it's very hard to kind of put the puzzle pieces together.
15:38
SPEAKER_02: Interesting.
15:38
SPEAKER_02: So that after a couple weeks of doing this stuff, she's more clear, the clarity's better.
15:42
SPEAKER_00: She's yeah, I think once the fog comes up, you're like, oh interesting.
15:47
SPEAKER_01: Yeah, yeah.
15:47
SPEAKER_01: It can make it's incredible how how you know it can get so bad for some people.
15:52
SPEAKER_00: I think also, especially like even just in their heads, like you when you're living like this and you can't get any answers, you're like start you start thinking you're going crazy.
16:00
SPEAKER_02: Yeah.
16:00
SPEAKER_00: So I think just to get some solution, it also kind of calms them down.
16:04
SPEAKER_02: No, someone that's probably like 100% you're not alone, or like we've seen this.
16:08
SPEAKER_02: Like, we believe, we believe you.
16:10
SPEAKER_00: You're seen and you're heard.
16:11
SPEAKER_00: I think that's a big part about what you do too with patients.
16:13
SPEAKER_00: Like they go to doctors and their doctors think they're crazy.
16:16
SPEAKER_02: Yeah.
16:16
SPEAKER_02: Like nothing's on this list.
16:18
SPEAKER_00: Like, yeah, you're not checking any of the boxes or you're fine.
16:21
SPEAKER_02: Yeah.
16:21
SPEAKER_02: Um, it's all in your head.
16:23
SPEAKER_00: Like I was it literally is in their head.
16:25
SPEAKER_02: So I assume she got her car detailed.
16:27
SPEAKER_02: Then got rid of the car.
16:29
SPEAKER_02: She had a new car.
16:30
SPEAKER_02: New car.
16:31
SPEAKER_02: Didn't want anything to do with the car.
16:32
SPEAKER_00: Divorce the car.
16:33
SPEAKER_02: That's probably a good choice.
16:34
SPEAKER_02: Yeah.
16:34
SPEAKER_02: Yeah.
16:34
SPEAKER_02: Wow.
16:35
SPEAKER_02: Nothing to do with the cars.
16:36
SPEAKER_02: That's crazy.
16:37
SPEAKER_02: Well, good, you know, good.
16:38
SPEAKER_02: She's feeling better.
16:39
SPEAKER_02: Yeah.
16:40
SPEAKER_02: Thank you.
16:40
SPEAKER_02: Um, and what about I've also heard that so ozone therapy?
16:43
SPEAKER_02: I mean, I've heard before is it's effective for a lot of things.
16:47
SPEAKER_02: Um, stem cell therapy, like IV stem cell therapy.
16:51
SPEAKER_02: Are y'all y'all do that too?
16:52
SPEAKER_02: Like, what do you all recommend?
16:53
SPEAKER_02: That's like Joe's thing.
16:54
SPEAKER_01: Yeah.
16:54
SPEAKER_01: Like what he does.
16:55
SPEAKER_01: We really, really have a lot of clinical experience and background in the in the stem cell space.
17:00
SPEAKER_01: So again, I think there's this huge misconception about stem cell therapy and how it's illegal or you have to go outside of the country, or, and that's just false.
17:10
SPEAKER_01: It's never been the case, ever, ever.
17:12
SPEAKER_01: And I'm talking 30 plus years of stem cell applications here.
17:17
SPEAKER_01: Um, so we do all aspects of stem cell.
17:19
SPEAKER_01: We do stem cell that's called autologous, where we actually harvest your body's own stem cells.
17:25
SPEAKER_01: And then we do what's called allogeneic, which is what more people are familiar with, which are these, you know, donor, you know, human cell tissue products, right?
17:33
SPEAKER_01: So the umbilical core derived stem cells.
17:36
SPEAKER_01: And we do it all.
17:37
SPEAKER_01: Um and where did this come from?
17:39
SPEAKER_01: So the the allogeneic, the umbilical core derived cells, they come from FDA registered tissue banks, uh, where there's a very uh that's where they should come from.
17:49
SPEAKER_01: Right.
17:49
SPEAKER_01: Yes.
17:49
SPEAKER_01: Everything is so, and because we use an FDA registered uh tissue bank, there's a very strict process that is from the donor donation process and the screening of that donor through the collection of the umbilical cord to the processing of that umbilical cord, and then ultimately the preservation and the distribution of the umbilical cord-derived stem cells.
18:12
SPEAKER_01: So it's a very, very by the book regulated, intense process.
18:20
SPEAKER_01: Um, and so again, you know, there's a lot of bad information out there, but these donor uh stem cell tissue products, they don't contain any DNA.
18:29
SPEAKER_01: Okay, so all of the DNA is removed.
18:32
SPEAKER_01: So again, people think about, you know, oh, these cells are going to be rejected by my body or it's gonna cause harm.
18:38
SPEAKER_01: Impossible.
18:39
SPEAKER_01: Can't.
18:40
SPEAKER_01: Um, and they're they go through a very rigorous screening and auditing process to make sure that there's no bacterial overgrowth, to make sure that there's no infection diseases in these cells.
18:52
SPEAKER_01: It goes through an extremely well-vetted safety protocol.
18:56
SPEAKER_02: I think it's, I mean, that just paints a picture too.
18:58
SPEAKER_02: It's super important to make sure that if people are seeking out stem cell therapy, like, oh, I got it online, you know, Amazon or something like that.
19:05
SPEAKER_02: No, uh, there's a lot of potential things that have to rule out is uh that they're safe.
19:10
SPEAKER_00: Also, people just saying, like, this product has stem cells in it, or this product has exosomes in it, and it's like, where and it ends up being like, you know, a plant or something.
19:19
SPEAKER_01: Yeah, and that that is that does happen.
19:21
SPEAKER_00: Or people present PRP like it's stem cells.
19:24
SPEAKER_00: Uh, we've seen that a lot.
19:25
SPEAKER_00: We have seen that a lot.
19:26
SPEAKER_02: Yes.
19:27
SPEAKER_02: I've heard with PRP, um, you can talk about that a little bit, but I've heard it's it's it's okay, but definitely inferior to the benefits and effective stem cells.
19:37
SPEAKER_01: No question.
19:38
SPEAKER_01: Because the the the difference with PRP is we're only at the uh advantage of that individual, right?
19:45
SPEAKER_01: So if we've got uh, you know, a 55-year-old person who's maybe not the healthiest, right?
19:51
SPEAKER_01: Um, or pre-diabetic or has a lot of chronic inflammation, their PRP is only as going to be as healthy as those platelets are because we're taking them from that individual.
20:01
SPEAKER_01: Something like stem cell, you know, especially with the donor cells, you know, we don't have any of that disease process that's taken place.
20:10
SPEAKER_01: So the opportunity for regeneration is significantly higher.
20:13
SPEAKER_01: I really, the simplest way to think about it is think about something like PRP as like a fertilizer, right?
20:19
SPEAKER_01: Where PRP and our platelets have thousands of different growth factors.
20:23
SPEAKER_01: Whereas if you look at something like a stem cell, it's almost like the seed, right?
20:28
SPEAKER_01: Something that's being implanted into the body that has that regrowth potential, whereas that PRP is more of the fertilizer to the body.
20:36
SPEAKER_02: Interesting.
20:36
SPEAKER_02: Yeah, yeah.
20:38
SPEAKER_02: Um, so they're harvested from these tissue banks, heavy, heavily FDA regulated.
20:43
SPEAKER_02: Where does all the, I mean, with the it's illegal, it's going out of the country, it's like um rejected by um the FDA and the in the past.
20:52
SPEAKER_02: Like, where does that come from?
20:53
SPEAKER_01: I think the biggest reason it comes is you know, they're not FDA approved procedures.
20:58
SPEAKER_01: And I think that's the stigma that people have a hard time getting.
21:01
SPEAKER_01: So the procedures themselves are not approved.
21:03
SPEAKER_01: Correct.
21:03
SPEAKER_01: But there's also surgical procedures that are done in hospitals that are not FDA approved.
21:08
SPEAKER_01: Really?
21:09
SPEAKER_01: Like what?
21:09
SPEAKER_01: Uh well, some of the more of like elective stuff, right?
21:13
SPEAKER_01: Or like a technique.
21:15
SPEAKER_01: So, you know, there's arthroscopic uh procedures that are not technically FDA approved because it goes against kind of what's been true and tested.
21:23
SPEAKER_01: So there's plenty of surgical procedures that are not FDA approved.
21:26
SPEAKER_02: So then that blanket just gets put over and like the whole thing is not FDA approved.
21:30
SPEAKER_02: Correct.
21:31
SPEAKER_00: I think there's also clinics that have not done appropriate things, yeah.
21:35
SPEAKER_00: Which have given people who do do the right things a bad name.
21:38
SPEAKER_02: Oh, 100%.
21:38
SPEAKER_02: I mean, I would imagine there's like a weird thing.
21:40
SPEAKER_00: We've dealt with that with people we've known and worked with, we've seen them do not great practices.
21:44
unknown: Yeah.
21:45
SPEAKER_02: What would those not great practices be?
21:47
SPEAKER_01: Well, so when we're talking about in particular, these like these donor-based stem cells.
21:53
SPEAKER_01: So not there are labs that don't follow these regulatory guidelines.
21:58
SPEAKER_01: So there is a difference, right?
22:00
SPEAKER_01: And not all, you know, human cell tissue or umbilical cord stem cells are created equal.
22:05
SPEAKER_01: And so there are clinics out there that can get these umbilical cord stem cells that have not gone through the invasive regulatory study processes.
22:16
SPEAKER_01: And so, you know, there are clinics that can cut corners and get, you know, a lower cost of good donor tissue.
22:24
SPEAKER_01: Uh, and it ends up not being great.
22:26
SPEAKER_01: And we've seen some unfortunately big problems.
22:28
SPEAKER_00: Or they inject it in like crazy areas that haven't, you know, like orthopedics, that's what Joe does.
22:33
SPEAKER_00: And it's been going on for a very long time.
22:36
SPEAKER_00: You know, people know what to expect, they know the results, as were other people will just inject it just anywhere where you probably shouldn't.
22:45
SPEAKER_01: Yeah, and I and I think that's kind of an important point because again, people look at stem cells as like the the magic therapy, right?
22:52
SPEAKER_01: I mean, stem cells are not gonna work if you're unhealthy and we're not supporting your body.
22:56
SPEAKER_01: So even before we even talk about doing stem cell, we're still gonna do blood work, we're still gonna make sure that everything is looking good.
23:03
SPEAKER_01: Because again, it goes back to, you know, a farmer doesn't go plant a seed into bad soil.
23:08
SPEAKER_01: Yeah, right.
23:08
SPEAKER_01: I'm not gonna go stick somebody stem stem cells into somebody who's chronically inflamed, diabetic, smokes, nutrient depleted.
23:18
SPEAKER_01: It's like I'm we're set up to fail if we're gonna do that.
23:21
SPEAKER_01: Totally.
23:22
SPEAKER_01: Right.
23:22
SPEAKER_01: So a lot of clinics don't do that.
23:24
SPEAKER_01: And yeah, they'll offer you a stem cell or exosome IV, but they won't follow through either.
23:30
SPEAKER_01: Yeah, you're just not gonna have the outcome because they're not putting it in the right environment to have success to begin with.
23:36
SPEAKER_02: That's a good point.
23:37
SPEAKER_01: Yeah.
23:37
SPEAKER_02: So uh one more question I was gonna ask is how do they remove the DNA from the cells?
23:41
SPEAKER_01: So the way that this the so an umbilical cord is collected under a you know scheduled C section where both the mom and the donor are extensively screened the whole pregnancy.
23:51
SPEAKER_01: So the umbilical cord is collected from a special collection institution.
23:56
SPEAKER_01: Um, and then what happens is that cord gets transported to the FDA tissue bank.
24:01
SPEAKER_01: And then what they do at the tissue bank is they, for lack of a better word, chop it up.
24:05
SPEAKER_01: Uh, and what they do is they isolate a section of the umbilical cord called the coreon.
24:10
SPEAKER_01: The coreon is where all of our DNA and genetic material is lives.
24:15
SPEAKER_01: And so what they do is they remove the corion from the umbilical cord, and that's what strips the DNA material out.
24:22
SPEAKER_02: Interesting.
24:22
SPEAKER_02: And then everything left is undifferentiated.
24:25
SPEAKER_00: It's like unidentified cells, right?
24:26
SPEAKER_00: Correct.
24:27
SPEAKER_02: Yep.
24:27
SPEAKER_02: Think of it as just blank canvas stem cell with no DNA.
24:31
SPEAKER_02: That's awesome.
24:32
SPEAKER_02: Yeah.
24:32
SPEAKER_02: So uh other than saying, like, hey, uh a farmer's not gonna plant a seed in bad soil, uh hey, we need to like clean up lifestyle stuff first to give the stem cell therapy a chance to be successful in a successful environment.
24:47
SPEAKER_02: Other than that, what would make you say like you're not a candidate?
24:50
SPEAKER_02: Like not good for you.
24:52
SPEAKER_01: Honestly, very, very few things.
24:54
SPEAKER_01: I mean, we generally, you know, from a uh a liability perspective, we generally don't like to treat, you know, women who are pregnant, women who are breastfeeding.
25:03
SPEAKER_01: Again, you know, it's more to do from just a liability perspective more than anything else.
25:09
SPEAKER_02: Gotcha.
25:10
SPEAKER_01: Um, if my wife was pregnant and she had an injury, I would inject her with stem cells.
25:15
SPEAKER_01: Like I wouldn't have any hesitation.
25:17
SPEAKER_01: But it's really just more from a liability perspective.
25:20
SPEAKER_01: Um, but I would say pregnancy breastfeeding, people who are being treated for active infections or who aren't currently active on uh antibiotics or steroids or anything else from a kind of infectious disease process.
25:32
SPEAKER_01: Uh, there's a couple of genetic diseases that we generally don't like to treat patients with, but very few and far between.
25:40
SPEAKER_00: Case by case, too.
25:41
SPEAKER_00: You really look at their whole picture.
25:43
SPEAKER_01: We do.
25:44
SPEAKER_01: Yeah, we do.
25:44
SPEAKER_01: What about cancer?
25:46
SPEAKER_01: It's a good question.
25:47
SPEAKER_01: So, again, kind of cancer is one of those scenarios where very case by case basis.
25:53
SPEAKER_01: We generally don't treat active cancer.
25:56
SPEAKER_01: However, what we will do is we will have that kind of pro and con conversation with someone.
26:01
SPEAKER_04: Yeah.
26:01
SPEAKER_01: Right.
26:02
SPEAKER_01: Because for us, it is also about our one of our always objectives is improving quality of life.
26:07
SPEAKER_03: Yeah.
26:07
SPEAKER_01: Clearly, when someone's being treated for certain cancers, it's a huge influencer of their quality of life.
26:13
SPEAKER_01: And so sometimes we have that discussion and we'll say, listen, you know, these are the hypothetical risks, these are the hypothetical pros.
26:20
SPEAKER_01: Do we think it makes sense?
26:22
SPEAKER_00: Also, if they're on treatment while they're on cancer, different things play into it.
26:25
SPEAKER_01: It does.
26:26
SPEAKER_01: Yeah.
26:26
SPEAKER_01: So cancer's a it's cancer's a very individual case-by-case basis.
26:30
SPEAKER_01: I wouldn't say no, but I wouldn't say yes.
26:32
SPEAKER_02: Like not immediate yes, not immediate no.
26:34
SPEAKER_02: Right.
26:34
SPEAKER_02: I've heard with the the rationale from advocates on the like, let's de let's low regulate, like, let's get this thing regulated and get it off the streets, dangerous, is it proliferates like just the undifferentiated non-specific components express and proliferate cancerous tumorous cells.
26:53
SPEAKER_02: Like, okay, yeah, well, hey, uh, let's stem cells for your shoulder because your shoulder hurts or you know, back pain, whatever.
27:00
SPEAKER_02: Unknowingly, then they have like underlying cancer that it had detected yet, and then it proliferates that tumorous environment.
27:06
SPEAKER_02: Yep.
27:06
SPEAKER_02: That's what I'd heard.
27:07
SPEAKER_02: Yeah.
27:07
SPEAKER_02: I don't know.
27:07
SPEAKER_02: What are your what are your thoughts on that?
27:09
SPEAKER_01: That's always one of the comments and questions that we get all the time, right?
27:12
SPEAKER_01: And so, although that, you know, is is a possibility, right?
27:16
SPEAKER_01: That's in a kind of in a perfect world in like a vacuum, right?
27:20
SPEAKER_01: Our body actually has natural checks and balance systems in it already, right?
27:25
SPEAKER_01: So it wouldn't be any different than any other proliferative substance, testosterone, growth hormone, right?
27:31
SPEAKER_01: Those are things that we use readily sometimes too.
27:34
SPEAKER_01: So everything, again, has its pro and a con.
27:36
SPEAKER_02: Gotcha.
27:37
SPEAKER_01: Um, but the the theory on kind of stem cells proliferating a hypothetical pre-cancerous cell that might be floating in around in your body.
27:46
SPEAKER_01: Again, your body has such checks and balance systems in it to protect against those types of things.
27:51
SPEAKER_01: And really, stem cells work by finding inflammation.
27:54
SPEAKER_01: So most of the time, anything that we're going to put in you from a biologics perspective is going to naturally just automatically go to place of inflammation, which generally is, again, most of their kind of work goes into that specific problem area.
28:08
SPEAKER_02: Gotcha.
28:09
SPEAKER_02: I had a conversation with a patient that it was all hypothetical, you know, because they're they're into this kind of stuff and like um trying to find alternative directions for stuff like cancer or type 1 diabetes or other autoimmune diseases and stuff, like hypothetically, let's say this you had cancer, you know, you found out, you're like stage three, you know, or whatever.
28:31
SPEAKER_02: What would you do?
28:32
SPEAKER_02: Would you be like immediate standard, uh understood Western medicine uh direction of care, of like allopathic medicine, chemo, radiation therapy, whatever's appropriate for that, yeah, with everything that comes with it?
28:45
SPEAKER_02: Or would you go the alternative route with it if it's like all the stuff like vitamin compounds, um, other therapies and a stem cell direction?
28:54
SPEAKER_01: Yeah.
28:55
SPEAKER_01: I mean, and again, I think it's really just a case-by-case basis.
28:58
SPEAKER_01: I mean, I can think of one patient in particular, uh, Susan.
29:02
SPEAKER_00: We had her on the podcast here.
29:03
SPEAKER_00: Who really called me, me and Roxy.
29:06
SPEAKER_01: Me and Roxy, yeah, yeah, yeah.
29:08
SPEAKER_01: Yeah.
29:08
SPEAKER_01: So, you know, I can think of one person, she was a hybrid, right?
29:12
SPEAKER_01: And so it's very much a case-by-case basis.
29:15
SPEAKER_01: You know, there's there's a very big difference of theory and management style.
29:18
SPEAKER_01: Oh, I know who you're talking about.
29:19
SPEAKER_02: She was a I know.
29:20
SPEAKER_02: Okay, yeah, yeah.
29:21
SPEAKER_01: Yeah, she was a patient.
29:22
SPEAKER_00: Her story was beautiful, but you know what the key in her too is she did her research.
29:26
SPEAKER_00: And we tell people that like Joe's father just passed away from cancer.
29:30
SPEAKER_00: And, you know, there's a difference also between the patient wanting to do the research, the family wanting to do the research, the family supporting the research.
29:37
SPEAKER_00: Susan was very lucky.
29:38
SPEAKER_00: Her her family was very supportive of everything, and she dived into everything.
29:43
SPEAKER_01: Yeah.
29:43
SPEAKER_01: And um, but I I think the other main difference too is you know, there's a difference between a little, you know, squamous cell cancerous lesion on your arm versus pancreatic cancer.
29:53
SPEAKER_01: Right.
29:54
SPEAKER_01: So it's very much a case by case basis.
29:57
SPEAKER_01: You know, Western medicine, as much as we're kind More in the alternative space, you know, there's a time and a place Western medicine is needed.
30:04
SPEAKER_00: There is places where chemo works.
30:05
SPEAKER_00: I mean, it's far and few between.
30:07
SPEAKER_01: There's there's instances where you're gonna have to go traditional medicine in order to kind of get the situation hopefully like under control.
30:15
SPEAKER_01: Yeah, but that doesn't mean you can't be doing adjunctive services or things to help support your immune system or things to help support your body through that traditional treatment.
30:24
SPEAKER_00: We've seen both ends.
30:25
SPEAKER_00: I remember when I first started working for you, there was a lady who came in and she probably could have used some chemo.
30:30
SPEAKER_00: She had literally cancer, like where I mean, I don't want to go into detail, but it was all over her body.
30:34
SPEAKER_00: It was eating her from it was breast cancer.
30:37
SPEAKER_00: And it probably could have easily been treated, but she came from a family.
30:40
SPEAKER_00: They didn't, they didn't do that.
30:41
SPEAKER_00: Like they wanted, you know, all the holistic.
30:45
SPEAKER_00: And it's it's it was so sad for us to see because it could have been something that could have been helped in her family, like didn't support that.
30:51
SPEAKER_02: Yeah, that's a good point.
30:53
SPEAKER_02: I mean, like it's not gonna be black or white, like I'm completely inside it either way.
30:56
SPEAKER_00: It's like, well, let's be you have to do your research, I think, and be very open-minded, yeah, especially nowadays.
31:02
SPEAKER_01: And medicine is never black or white.
31:04
SPEAKER_01: That's why we call it the practice of medicine.
31:07
SPEAKER_01: Yeah.
31:07
SPEAKER_01: Right.
31:07
SPEAKER_01: It's very much uh a moving, floating scale.
31:11
SPEAKER_01: It's it's very much a patient-by-patient basis, and there's so many factors that go into it.
31:15
SPEAKER_01: So as much as we love to like think about these hypotheticals, it's always so like case by case, you know.
31:21
SPEAKER_00: We talk about that all the time because I'm like, you know, chances are one of us are gonna get it.
31:24
SPEAKER_00: And as much as he hates to talk about it, we we talk about how like we would be open to anything, and that's how you have to think about it.
31:30
SPEAKER_00: You have to support each other and be open to any option that there is and quality of life.
31:39
SPEAKER_00: Right, 100%.
31:39
SPEAKER_02: Yeah, like think of the considering the pros and cons of quality of life.
31:42
SPEAKER_00: Yeah.
31:42
SPEAKER_02: Um, I'm always I mean, I think it's appropriate to have conversations like that, you know, because like if things happen, you know what I mean?
31:49
SPEAKER_02: Like, we're not gonna live forever.
31:50
SPEAKER_02: No.
31:50
SPEAKER_02: And like systemic issues can arise.
31:53
SPEAKER_02: Yeah.
31:53
SPEAKER_02: Where I'm like, let's say somebody was like, you know, not even considering that.
31:57
SPEAKER_02: That's they're shoving it aside and they're never gonna dive into it.
31:59
SPEAKER_02: And let's say something does happen, then they're like way overwhelmed.
32:02
SPEAKER_02: Yeah, didn't think this was gonna happen.
32:03
SPEAKER_02: Now you can't think that way.
32:05
SPEAKER_02: Well, like it might.
32:05
SPEAKER_02: So if it does, then at least you're not caught off guard too much, right?
32:09
SPEAKER_02: I've never been there before, fortunately, with anything like significantly severe, of course.
32:13
SPEAKER_02: So, of course, like I don't have the uh the different perspective of the people, but um anyway, I'm always open to like we've got to consider these kind of conversations, you know what I mean?
32:22
SPEAKER_02: This is important, it is so.
32:23
SPEAKER_02: What about um a hyper or hypothyroidism?
32:27
SPEAKER_00: Oh, and then also next question is curved and thyroid.
32:30
SPEAKER_00: Yeah, yeah.
32:31
SPEAKER_01: I mean, listen, so we deal a lot with hormonal imbalances, and I think it's important for people to understand that hormones are not just male-female sex hormones.
32:40
SPEAKER_01: There's two other really important aspects of hormone balancing that's really important.
32:45
SPEAKER_01: One is your thyroid, one is your adrenal gland.
32:47
SPEAKER_01: Our thyroid is a really important gland that sits here in our neck, and it really is responsible for controlling the pace at which our body operates.
32:56
SPEAKER_01: So I talk a lot about the word metabolism, and metabolism doesn't just mean weight, right?
33:01
SPEAKER_01: Everyone thinks about metabolism as oh, I'm either going to gain weight or lose weight.
33:05
SPEAKER_01: No, think about metabolism as at which the pace at which your body executes functions, right?
33:11
SPEAKER_01: Any us sitting here right now, millions of chemical reactions are happening.
33:15
SPEAKER_01: And so when I word when I use the word metabolism, think about the pace at which those chemical reactions and those tasks are being executed.
33:23
SPEAKER_01: So your thyroid regulates the pace, your metabolic rate at which your body can operate.
33:30
SPEAKER_01: And so as we age, we are more susceptible.
33:34
SPEAKER_01: As our female and male hormones start to decline, our thyroid hormones also start to decline.
33:40
SPEAKER_01: And it's probably one of the areas of healthcare that is most mismanaged because we get calls on thyroid stuff, literally dozens of calls a day.
33:51
SPEAKER_01: Interesting.
33:52
SPEAKER_01: About how, you know, we decide to put someone on a thyroid treatment program, but their primary care doctor is telling them their thyroid is fine.
34:01
SPEAKER_01: Or the primary care doctor says it should be doing this way, and we think it should be doing, be done this way.
34:08
SPEAKER_01: So it's definitely an area that is kind of mismanaged a lot of times.
34:13
SPEAKER_01: Uh, but it's a very important organ system to make sure that you're looking into and kind of managing appropriately because it affects everything.
34:22
SPEAKER_02: Is it a kind of a thing where um thyroid dysfunction, metabolic dysfunction can then influence the sex hormones, testosterone estrogen, or vice versa.
34:31
SPEAKER_02: That's 100% the case.
34:34
SPEAKER_01: Yep.
34:34
SPEAKER_01: So either your thyroid starts to change and it puts more stress on your male or female hormones, or your male and female hormones start to change and that puts stress on your thyroid.
34:43
SPEAKER_01: There's some crazy statistic, and I I don't know it off the top of my head, but ballpark, it's probably 70% of women after menopause will have an underactive thyroid.
34:54
SPEAKER_02: I believe it, you know, I believe it.
34:56
SPEAKER_02: So I would assume then that, like, all right, why does a thyroid get dysfunctional in the first place to then cause a cascade of events to come into play, right?
35:05
SPEAKER_02: If it's like um estrogen or testosterone decline, and then fog, lethargy, other systemic problems.
35:13
SPEAKER_02: I would imagine before that, it's like all the other stuff we were talking about before with environmental toxins, stress and anxiety, um, nutritional toxicity, or just chronic inflammatory responses that ends up tipping the scale enough to then have the thyroid get involved.
35:31
SPEAKER_02: And then like not really noticing a lot of changes, and then like months, weeks, or even years later, then it's like, hey, you have like super low testosterone or super low estrogen.
35:39
SPEAKER_02: Is that that's exactly how it happens?
35:42
SPEAKER_02: That's exactly how it happens.
35:43
SPEAKER_02: You're like, it's like a cop-out answer that I've heard from other people is oh, it's just genetic.
35:47
SPEAKER_02: Well, it's like, well, of course, everything's some genetic predisposition to be expressed, but I would imagine those and those uh triggers then cause those genetic uh underlying um predispositions to be expressed to then cause thyroid dysfunction or metabolic dysfunction totally and then the cascade goes down.
36:06
SPEAKER_01: Yeah, and that's one of the things that we always talk with our patients about is you know, a lot of people will say, yeah, this is genetic or I'm genetically, you know, at risk for this.
36:15
SPEAKER_01: But we know that our nurture, right, the way that we live our life, our lifestyle, our choices can change our nature, can change our genetic predispositions or not allow our environment and the and the choices that we make can actually really influence what genes actually express themselves.
36:34
SPEAKER_01: Yeah, right.
36:35
SPEAKER_01: So even though you might be coded to develop this disease at some point, the choices that you make, the lifestyle that you live, how you support your body might actually not allow mindset that family families tend to make the same genetic or the same choices environmentally.
36:50
SPEAKER_00: Yeah.
36:51
SPEAKER_00: So that might be why it's continuing and circling.
36:54
SPEAKER_02: So I I totally I love that as in like there's some ownership and some control that comes into play, versus like, well, it's genetic, I'm doomed.
37:00
SPEAKER_00: I know a lot of people don't like to hear this, but I think the same as like with obesity.
37:04
SPEAKER_00: Oh, it's genetic, we have an obese gene.
37:06
SPEAKER_00: It's like, well, you're eating the same way that your mom, your parents did, and your grandparents did.
37:10
SPEAKER_00: Maybe if you made some changes, like we're all a little different.
37:13
SPEAKER_00: You know, I have one daughter who's skinny like a stick, and I have another one who's she's she's in her fluffy year.
37:18
SPEAKER_00: And but you know, I you look at the habits too, and you know, the lifestyle choices that are made, and you can influence it a little bit, I believe.
37:28
SPEAKER_02: I would totally agree.
37:29
SPEAKER_02: I mean, I staunchly would agree that like obesity, it's like there's a lot of nurturing influence that can dictate that direction.
37:39
SPEAKER_00: Yeah.
37:39
SPEAKER_02: Um, and then type 2 diabetes would be in the same boat, yeah, right?
37:42
SPEAKER_02: Because that's completely reversible.
37:43
SPEAKER_00: Like, oh, my grandma had it, my mom had it.
37:45
SPEAKER_02: Well, you know what?
37:46
SPEAKER_02: I'm so I'm guaranteed to have it when I turn 63.
37:48
SPEAKER_00: That's not a what?
37:49
SPEAKER_00: No.
37:50
SPEAKER_02: Yeah.
37:50
SPEAKER_02: I just, yeah, I totally anyway.
37:53
SPEAKER_00: I'm always in the boat of like uh easiest for people to get what we're saying from this.
37:57
SPEAKER_00: It's the easiest because you can see it versus the things that we deal with, you might not be able to see a thyroid condition, you might not be able to see, but Joe hears it all the time.
38:06
SPEAKER_03: Yeah, yeah.
38:07
SPEAKER_00: And it's like, oh, it's in my family.
38:08
SPEAKER_00: What can I do about it?
38:09
SPEAKER_02: Yeah, yeah.
38:10
SPEAKER_02: I'm usually, I I I just my personality, and when I got exposed to it, I was like, Oh, I love that.
38:15
SPEAKER_02: It's like the Jocko Willink kind of like mentality where it's like you're in full control of your life.
38:20
SPEAKER_02: Like you can totally dictate what you want, what you do.
38:23
SPEAKER_02: You can change your identity, your personality, your persona, your family, like all that stuff.
38:29
SPEAKER_02: Yeah, that can dictate a lot of things.
38:30
SPEAKER_00: Putting labels and identities on things, you know, I'm I'm susceptible to this.
38:34
SPEAKER_00: You're already dooming yourself from the beginning.
38:36
SPEAKER_02: Change that immediately.
38:37
SPEAKER_00: Yeah, immediately.
38:38
SPEAKER_02: But uh so okay.
38:40
SPEAKER_02: So another question I have, I know this is a tricky one with because it's congenital, underlying genetic predispositions, it was type one diabetes, yeah, right?
38:49
SPEAKER_02: So like pediatric juvenile type one diabetes.
38:52
SPEAKER_03: Yeah.
38:53
SPEAKER_02: What are your like, is it the same kind of thing where it's like they might have these underlying genetic predispositions that will be expressed based off of their exposures?
39:01
SPEAKER_02: Or is it like at some point it's gonna fail when they reach a certain age?
39:05
SPEAKER_01: Yeah, and it and it could be either of those scenarios.
39:08
SPEAKER_01: You know, we've definitely had you know, families who come in, very strong family of history of autoimmune disease, and then a child develops type one diabetes, or you know, very strong family history of autoimmune disease, and it's not does not develop in childhood, but it might actually present at the 20s or 30s.
39:25
SPEAKER_01: Yeah, right.
39:26
SPEAKER_01: So again, it goes into that kind of how does that individual, that lifestyle, then allow that gene expression to actually turn on, kick on.
39:35
SPEAKER_01: Um, so it's you know, type one diabetes is one of those things that again, it if you support the body in the right way, you might always have some element of type one diabetes, right?
39:47
SPEAKER_01: So type one diabetes is basically where your pancreas is non-functional, right?
39:51
SPEAKER_01: It doesn't produce enough insulin, or the insulin that it does make is uneffective, right?
39:56
SPEAKER_01: So we can't cause by generally it's it's so they call it it's an autoimmune disease.
40:01
SPEAKER_01: So whether it's a you know, kind of just congenital, hey, you're born and your pancreas just never developed properly, or something then caused your pancreas to not work properly.
40:11
SPEAKER_02: And caused like an autoimmune type of attack.
40:14
SPEAKER_02: Correct.
40:14
SPEAKER_02: Right.
40:15
SPEAKER_02: A dysfunction.
40:16
SPEAKER_02: Correct.
40:16
SPEAKER_01: And that's where some people will might present at, you know, eight, seven, eight, ten, twelve.
40:22
SPEAKER_01: And some people don't present until 20s or 30s or 40s.
40:25
SPEAKER_01: Um, and that's very different.
40:27
SPEAKER_01: And so our approach always with something like that is again, just try to identify any underlying contributor.
40:33
SPEAKER_01: Uh, is it an immune dysfunction?
40:36
SPEAKER_01: Is there, and then just really just support the body as best we can.
40:40
SPEAKER_01: Manage inflammation, help the metabolic rate, make sure hormones are good.
40:45
SPEAKER_01: You know, that's generally the approach.
40:47
SPEAKER_01: Um, type two diabetes, type one diabetes, excuse me, is more difficult to manage, but it's not impossible.
40:53
SPEAKER_01: People live really long, healthy, you know, productive, successful lives as type one diabetics.
40:59
SPEAKER_01: There's professional athletes that are type one diabetics.
41:01
SPEAKER_01: Yeah, yeah.
41:01
SPEAKER_01: Look at Jay Cutler, right?
41:03
SPEAKER_01: An X NFL quarterback, type one diabetic.
41:06
SPEAKER_01: Like, how do we a professional athlete?
41:08
SPEAKER_02: I don't think I knew Jay Cutler at that was a type one.
41:10
SPEAKER_02: Yeah.
41:11
SPEAKER_02: Interesting.
41:11
SPEAKER_02: Yeah.
41:12
SPEAKER_02: What about um like stem cell therapy for that?
41:14
SPEAKER_01: Yeah, and that's definitely an option.
41:16
SPEAKER_01: We have treated some type one diabetes with some good success in the sense that we've had patients or type one diabetics who've come in, you know, very poorly managed.
41:26
SPEAKER_01: You know, they're on 200 units of insulin a day.
41:29
SPEAKER_01: We've actually been able to get people off insulin, but we can't say that obviously their pancreas is working substantially where they don't need some sort of medical management.
41:39
SPEAKER_01: But we have had some good success in helping to kind of decrease the disease process of time.
41:44
SPEAKER_02: Or the severity.
41:46
SPEAKER_02: So I don't imagine at that point it's like just got to live a very purposeful, mindful choice like lifestyle.
41:53
SPEAKER_02: Always understanding of your current situation.
41:55
SPEAKER_02: Yeah.
41:56
SPEAKER_00: I think that's our aim for all of our patients.
41:58
SPEAKER_02: It is.
41:59
SPEAKER_01: Yeah, and and the mental piece is always super important.
42:02
SPEAKER_02: I think what's interesting too is like, well, before I said this, I was gonna say with like lifestyle choices that develop these genetic uh expressions to then become proliferative.
42:11
SPEAKER_02: It's like, I don't want to blame, we're not blaming anybody.
42:13
SPEAKER_02: It's like, what did you what were you thinking?
42:15
SPEAKER_02: Right.
42:15
SPEAKER_02: It's like that unknowingly, just things that these might be things could have uh triggered these events.
42:22
SPEAKER_02: So it's not like we're blaming anybody.
42:23
SPEAKER_02: But um I I think with uh yeah, with like being super mindful lifestyle choices, you know, with like, well, am I ever gonna go like what can I live normally?
42:34
SPEAKER_02: It's like, well, who decided that previously or what these lifestyles is normal?
42:40
SPEAKER_02: Yeah.
42:41
SPEAKER_02: Where imagine somebody gets bariatric, you know, gastric bypass surgery, and then they lose a ton of weight, and you're like, okay, cool.
42:47
SPEAKER_02: Now that I lost a bunch of weight, now I can live normally again.
42:50
SPEAKER_02: And then they gain it all back.
42:52
SPEAKER_02: Yeah.
42:52
SPEAKER_02: Like, who decided that that previous lifestyle was normal?
42:55
SPEAKER_02: Why not like just reassociate that this is normal?
42:59
SPEAKER_02: Where that's gonna be the maybe the best recipe for longevity anyway, right?
43:03
SPEAKER_02: Yeah.
43:03
SPEAKER_02: Where it's like, okay, can't eat hot dogs and hot dog buns, you know?
43:05
SPEAKER_02: It's like, well, the buns are like fake bread.
43:07
SPEAKER_02: It's like it's not real, you know?
43:09
SPEAKER_02: Like, that's not normal.
43:11
SPEAKER_02: Um, we're like, well, we're really alternatively thinking about how we're making our food.
43:14
SPEAKER_02: And like if we're making brownies, like we're using avocados, like it's a mission like that's the oil base, and then like this natural cocoa.
43:23
SPEAKER_02: It's like, but it's not like real brownies.
43:25
SPEAKER_02: It's like, well, why not?
43:26
SPEAKER_02: Like who decided, you know?
43:27
SPEAKER_02: Yeah, why not make that real?
43:29
SPEAKER_02: You know what I mean?
43:30
SPEAKER_01: It's about changing your habit and making new rituals, you know.
43:33
SPEAKER_01: And again, like I always say to patients, um, you know, life is short, you should enjoy.
43:39
SPEAKER_01: And I never would tell anyone to stop doing any one particular thing.
43:43
SPEAKER_01: But I think if you can moderate and, you know, 80-20 rule.
43:46
SPEAKER_01: Yeah, you know, you know, life is too short to not have a piece of cake or some ice cream.
43:50
SPEAKER_00: But if that cake is affecting you over and over and over, maybe you need to dive in and not eat that cake.
43:55
SPEAKER_00: Right.
43:56
SPEAKER_00: Maybe that's not part of your 20%.
43:57
SPEAKER_02: I would I totally.
43:59
SPEAKER_02: And also I'd be like, let's take it a step further and investigate what's where does the desire come from to want to eat the cake.
44:05
SPEAKER_00: I've found that I've gotten more that way as I've gotten older.
44:07
SPEAKER_00: Joe probably thinks I'm turning into a lady, but I'm like, people literally are choosing the way that they feel and they're doing the same habits over and over again.
44:14
SPEAKER_00: And that's very hard for me as I get older and I've become more aware.
44:18
SPEAKER_00: It's like, if I can cut these things out, you know, to feel better, it's not so much could you want to do it at first, you know.
44:24
SPEAKER_00: Like when I first started with, you know, doing strength training, like it wasn't what I wanted to do.
44:29
SPEAKER_02: Yeah.
44:29
SPEAKER_00: And now I'm like, I'm addicted to the way I feel.
44:32
SPEAKER_02: Yeah.
44:32
SPEAKER_02: You know, I'm gonna choose purposefully.
44:34
SPEAKER_00: I'm gonna choose this.
44:35
SPEAKER_00: And then that's spun off on, you know, what I'm not gonna eat this because I'm not gonna waste my workout or you know, or feel crappy.
44:41
SPEAKER_00: And it's funny because you find that people who aren't making those choices, they're like, you're so disciplined, you're so this.
44:47
SPEAKER_00: And I'm like, I am not.
44:48
SPEAKER_00: I just I'm tired of feeling like crap.
44:50
SPEAKER_02: Yeah, the pain.
44:51
SPEAKER_00: And as you get older, it gets worse.
44:53
SPEAKER_02: I guess I have kids to live for you know um and recovery processes and everything declines.
45:00
SPEAKER_00: It's important.
45:01
SPEAKER_02: I think um the times that I've been in a good streak, because it comes in phases, you know what I mean?
45:06
SPEAKER_02: But um, with it becomes like a definitely a habit, you know, yeah, and like a lifestyle habit where it's like, oh, it's the norm.
45:12
SPEAKER_02: Like I work out before lunch or whatever.
45:15
SPEAKER_02: And then if I don't, then I'm like, I I feel guilty, right?
45:19
SPEAKER_02: But um, the times that I've been on good momentum streaks, you know, it becomes easier and easier.
45:23
SPEAKER_02: Yeah.
45:24
SPEAKER_02: Where it's like, oh, I'm just gonna work out real quick.
45:25
SPEAKER_02: Like I have 45 minutes, perfect.
45:26
SPEAKER_02: I'll do the bike for five minutes and then knock out a 30-minute workout.
45:29
SPEAKER_02: That's easy.
45:30
SPEAKER_04: Yeah.
45:30
SPEAKER_02: Whereas in the past, where it's like I'm not in a good streak of momentum, then it's like, I only have 45 minutes.
45:36
SPEAKER_02: By the time I get my shoes on, I'll have 40.
45:38
SPEAKER_02: Then I'm gonna ride the bike.
45:39
SPEAKER_02: Then only have like a 10-minute workout.
45:40
SPEAKER_02: Like I might as well not even do it, you know.
45:42
SPEAKER_02: It becomes way more challenging to like jump that hurdle.
45:45
SPEAKER_02: Whereas like, I'll do it real quick, like 10-minute workout.
45:47
SPEAKER_02: Yeah, it's like it's mindset.
45:49
SPEAKER_02: 100%, yeah.
45:50
SPEAKER_02: It just becomes easier and easier as it goes more and more and more, and then it develops into like a habit.
45:54
SPEAKER_00: I think that's one of the most rewarding things I see when Joe sees one of like, I'll pass over a friend or somebody I work out with, and he can change how they're physically feeling.
46:03
SPEAKER_00: And I do think that that gives you a little boost.
46:05
SPEAKER_00: And then it's like they start thinking more positively.
46:07
SPEAKER_00: And like you see this transformation.
46:10
SPEAKER_00: So I I like to think that we have a little part of helping people not only become their best physically, because that's what people think.
46:16
SPEAKER_00: Oh, you're gonna do hormones or stem cells and a knee fix or like you know, your sex drive go up.
46:21
SPEAKER_00: But like ultimately, those things change the whole process of you becoming a more productive person and you know just being happier.
46:31
SPEAKER_02: Totally.
46:31
SPEAKER_02: I think um, I mean another good point, like it's not easy, like it's not enjoyable.
46:36
SPEAKER_00: No, not in the beginning.
46:37
SPEAKER_02: When it's like I'm tired, like naturally, my clinic is it's a chilly place, it's cold, and I'm like it's cold in there.
46:43
SPEAKER_02: It is, it's free.
46:44
SPEAKER_02: No matter what we do, we can't, yeah.
46:45
SPEAKER_02: It's just we have no control of the AC.
46:47
SPEAKER_02: But like I was like, I'm gonna wear a jacket then, problem solve.
46:50
SPEAKER_02: But um, yeah, it's like I'm hungry, it's chilly, I'm tired, I'm achy a little bit, you know.
46:56
SPEAKER_02: It's like I don't want to work out right now, but I know that I'm gonna feel better.
47:00
SPEAKER_00: But you're blessed that you're able to work out.
47:02
SPEAKER_00: There's people out there who can't work out, right?
47:04
SPEAKER_02: Right, exactly.
47:04
SPEAKER_02: And an environment set up for success to be able to like knock it out and make it make it more you know, chewable day to day.
47:10
SPEAKER_02: Yeah, but um one thing too, I was gonna say that like I came to an epiphany, I think what's it taste Friday, right?
47:17
SPEAKER_02: I think it was Tuesday night.
47:18
SPEAKER_02: Well, we get those, like those corn chips and Costco tortilla chips, you know.
47:23
SPEAKER_02: Love those.
47:24
SPEAKER_02: I'm a chip guy.
47:25
SPEAKER_02: I'm also like a cold, if we talk about this, I'm like cereal guy, man.
47:28
SPEAKER_02: I got just like this this oat pumpkin, it's supposed to be organic cereal.
47:32
SPEAKER_02: I'm like, man, this is good.
47:34
SPEAKER_02: You know, it's like it's just good with a cool, you know, put uh almond milk in there.
47:39
SPEAKER_02: Anyway, um, but I had these orchid these chips and I'm like, I haven't had them in a long time, like a couple weeks probably.
47:45
SPEAKER_02: Ate a bunch, and I was like, I feel bloated and I don't feel good.
47:49
SPEAKER_02: Okay, like decision make.
47:52
SPEAKER_02: I'm not eating them anymore.
47:52
SPEAKER_02: Like, I'm eliminating it from eating from my life.
47:54
SPEAKER_02: Like, I just not they're not good for me.
47:56
SPEAKER_02: You know, I don't do well with them and I I feel crappy right now.
48:00
SPEAKER_02: I was like, okay, I check mark box, you know, got it.
48:03
SPEAKER_02: Not having these anymore, you know.
48:05
SPEAKER_02: Dang it.
48:06
SPEAKER_02: But yeah, it's not I I would rather have longevity set up for success than a short term and then feel crappy right afterwards, you know.
48:15
SPEAKER_02: But that was an epiphany I had like literally two days ago.
48:18
SPEAKER_00: So I think that's a key indicator that we're growing too.
48:22
SPEAKER_02: I I would agree.
48:23
SPEAKER_00: Those little moments.
48:24
SPEAKER_02: Yeah.
48:25
SPEAKER_02: Yeah.
48:25
SPEAKER_02: Totally.
48:26
SPEAKER_02: Yeah, totally.
48:27
SPEAKER_00: Yeah.
48:27
SPEAKER_02: So one thing I wanted to do real like before we end was what people could expect when they come in for like what a consult would look like.
48:34
SPEAKER_02: Yeah.
48:35
SPEAKER_02: And then like a blood work review, which I had with you guys a couple weeks ago.
48:39
SPEAKER_01: Yep.
48:40
SPEAKER_01: The first thing for us that's important is we need to get to know you.
48:43
SPEAKER_01: We need to get to know each other, right?
48:45
SPEAKER_01: So, like, I can look at a set of blood tests and it can tell me part of the picture, but it doesn't translate into giving me the whole picture.
48:52
SPEAKER_01: So the very first thing that we do is always like a really in-depth kind of interview, right?
48:57
SPEAKER_01: Hey, like tell me about you, tell me about your health, tell me about your lifestyle, tell me about your goals, tell me about everything, because that's just as important information for us as the blood tests are, right?
49:10
SPEAKER_01: Um, and so we always start with just like a little introductory section where we get to know each other, you know, have a chat.
49:16
SPEAKER_01: Help us get to understand what your short-term goals are, your long-term goals are, what's conducive to your lifestyle, right?
49:22
SPEAKER_01: Because we don't want to set a program up for you and it's not practical with your lifestyle.
49:26
SPEAKER_01: Yeah.
49:27
SPEAKER_01: Right.
49:27
SPEAKER_01: We get people all the time, you know, they're on a plane two times a week, or they're traveling here and traveling there, they have kids, or they can't do this, or they can't do that.
49:36
SPEAKER_01: So I can't put together a program for that person that's not practical for the lifestyle.
49:41
SPEAKER_01: They're not going to be consistent, they're not going to be compliant, and we're both not going to have success.
49:45
SPEAKER_03: Yeah.
49:45
SPEAKER_01: So it's important for us to get to know you, right?
49:48
SPEAKER_01: Whatever that looks like or feels like.
49:50
SPEAKER_02: And you'll do that with a one-on-one console, right?
49:54
SPEAKER_01: Yeah.
49:54
SPEAKER_01: We do, we sit down, we just schedule a time to chat, whether it's in person, on the phone, on a on our video platform, doesn't matter how.
50:01
SPEAKER_01: We just need to get to know each other.
50:03
SPEAKER_01: Then typically what we'll do is we'll do a comprehensive medical workup, right?
50:08
SPEAKER_01: So we do look at blood markers that are not just traditional medicine markers like cholesterol and blood sugars, but we look at stuff that's a function of your quality of life.
50:17
SPEAKER_01: Um, we want to look for those early signs of aging.
50:19
SPEAKER_01: So we want to look at inflammatory markers, macro and micronutrients, hormones, neurotransmitters, because those are the things that start to change at that early age that we can identify early and then put a plan in place to stop them changing or even reverse them changing.
50:35
SPEAKER_02: And those are the things that would then later turn into like high glucose and high lipid profile.
50:40
SPEAKER_02: Exactly.
50:41
SPEAKER_02: Low testosterone, low estrogen.
50:43
SPEAKER_02: Exactly.
50:43
SPEAKER_00: And then what's markers that people generally have never even had done?
50:46
SPEAKER_01: Most people don't, right?
50:48
SPEAKER_01: They say they go see their primary, their primary runs blood work.
50:50
SPEAKER_01: Their primary runs blood work that's one page long.
50:53
SPEAKER_01: Not even.
50:53
SPEAKER_01: It's seven tests.
50:54
SPEAKER_01: You know, we look at hundreds of different biomarkers and things that are so, you know, kind of outside of the traditional mindset that most primary cares don't even know what the test is.
51:04
SPEAKER_02: So what's an inflammatory marker that you'll look at?
51:07
SPEAKER_01: So a big one right now is that most people aren't even familiar with is apolipoprotein B.
51:14
SPEAKER_01: Apolipoprotein B is an inflammatory marker, but it's an inflammatory marker that's a little bit more associated with heart disease.
51:22
SPEAKER_01: So that's one that, again, nobody probably even really knows what it is.
51:26
SPEAKER_01: Um, or if they are having it checked, it's by their cardiologist who probably doesn't know how to manage it appropriately if it even is elevated.
51:34
SPEAKER_02: So like when you find that result now, what exactly course of action?
51:36
SPEAKER_01: And that's a big part of the problem, too, is even if uh, you know, traditional medicine looks at something, they don't interpret it the right way.
51:44
SPEAKER_01: And that's the difference, right?
51:45
SPEAKER_01: Because for us, our job is optimization.
51:49
SPEAKER_00: And you're looking at the whole picture.
51:51
SPEAKER_01: Correct, right?
51:52
SPEAKER_01: People look or, you know, traditional medicine looks at these reference ranges, right?
51:56
SPEAKER_01: These intervals, right?
51:58
SPEAKER_01: And just because something is within the interval, they consider it okay.
52:02
SPEAKER_01: I don't want to be any okay with anything in my life.
52:04
SPEAKER_01: I want to be as good as I can be.
52:06
SPEAKER_01: So a lot of times we'll manage someone that's kind of outside that normal reference range.
52:12
SPEAKER_02: Gotcha.
52:13
SPEAKER_01: And so that's a big difference too.
52:14
SPEAKER_02: So apolipoprotein B, what do y'all do for that if it's elevated?
52:19
SPEAKER_01: So it is an inflammatory marker, so it responds really well to a lot of natural anti-inflammatory.
52:24
SPEAKER_01: So we'll do turmeric, curcumin, we'll do glutathione, we'll do um, you know, some IVs.
52:32
SPEAKER_01: Um, it is a little bit more sensitive for heart disease.
52:34
SPEAKER_01: So it becomes important to look at the cholesterol and the lipid markers, look at nutrition.
52:40
SPEAKER_02: Is that usually pretty correlated?
52:41
SPEAKER_02: Like the LDL elevated LDL profile.
52:45
SPEAKER_02: Yep.
52:45
SPEAKER_02: And then the apoliprotein B.
52:47
SPEAKER_02: Yep.
52:48
SPEAKER_02: Interesting.
52:48
SPEAKER_02: Yep.
52:49
SPEAKER_02: Um, and then so but so I mean, the report that I got from you guys was super extensive.
52:53
SPEAKER_02: I mean, it's seven pages.
52:55
SPEAKER_02: Sorry, 14 pages.
52:56
SPEAKER_04: Yeah.
52:57
SPEAKER_02: Seven pages back in front.
52:58
SPEAKER_02: Yeah, exactly.
52:59
SPEAKER_02: Hundreds of different markers.
53:01
SPEAKER_02: Um, yeah, it's that's awesome.
53:03
SPEAKER_02: So, what it was with this uh my LDL was a little elevated.
53:09
SPEAKER_02: My from what I'm seeing, real quick, like that's outside the norm ranges.
53:12
SPEAKER_02: Yep.
53:13
SPEAKER_02: Uh my sodium was elevated.
53:15
SPEAKER_02: Um, my SHGBG and testosterone total were elevated.
53:21
SPEAKER_02: Yeah.
53:22
SPEAKER_02: And then uh I think that's it for it there.
53:24
SPEAKER_00: You're basically dying.
53:26
SPEAKER_02: Yeah, exactly.
53:26
SPEAKER_02: What is all that yeah, what does that represent?
53:28
SPEAKER_01: So you were in pretty good shape, actually.
53:31
SPEAKER_01: Um, so again, you're a very physically active person.
53:35
SPEAKER_01: So you are a little bit more vulnerable to inflammation just because of the nature of what you do for work and the lifestyle that you live.
53:42
SPEAKER_01: So sometimes when we see things like um electrolyte imbalances, yeah, you know, people who are active, they sometimes tend to be dehydrated.
53:49
SPEAKER_01: Yeah.
53:50
SPEAKER_01: So little things like that, right?
53:51
SPEAKER_01: Dehydration for the for the for the sodium, right?
53:54
SPEAKER_01: Um, same thing with like your LDL, you know, again, you're it's not that you eat terribly, but one of the things that we're more susceptible to in activity in particular is your body needs fuel and calories, and sometimes things don't get processed as effectively.
54:10
SPEAKER_01: Yeah.
54:10
SPEAKER_01: And that sometimes can cause the cholesterol to accumulate.
54:13
SPEAKER_01: It's not always an intake issue with cholesterol.
54:16
SPEAKER_01: And I think that's important for people to realize.
54:18
SPEAKER_01: Interesting.
54:18
SPEAKER_01: There's an inflammatory component, there's a metabolic component, right?
54:22
SPEAKER_01: And so, you know, those are just a couple of the things that we look at.
54:25
SPEAKER_01: Hormones is another one.
54:27
SPEAKER_01: You know, SHBG has to do a lot with male hormone production, female hormone production.
54:32
SPEAKER_01: So as we get older, we start to see those kind of early shifts take place.
54:36
SPEAKER_01: And again, not that your results are in a bad place, they're not.
54:40
SPEAKER_01: Um, they're in a very good place, but there's always little things that we can do to kind of optimize and refine.
54:46
SPEAKER_00: You're that patient I was talking about at the beginning.
54:48
SPEAKER_00: You come in, you're overall healthy, but you want to be optimal.
54:51
SPEAKER_00: And that's our thing is optimal is achievable.
54:53
SPEAKER_00: We have so many people who come in like that.
54:55
SPEAKER_00: They just want to feel that they want to have that edge.
54:58
SPEAKER_02: Also, too, totally.
54:59
SPEAKER_02: And they um anything predisposing us for longer, like later in life, like you're good right now, but what we're noticing this.
55:07
SPEAKER_00: But let's see what you're prone to later.
55:09
SPEAKER_00: Exactly.
55:10
SPEAKER_02: Yeah, yeah.
55:10
SPEAKER_00: What what are gonna be your weak points later?
55:13
SPEAKER_02: Um, the AG ratio and bilirubin were also high.
55:18
SPEAKER_02: What's AG ratio?
55:19
SPEAKER_01: So AG ratio is actually a good thing to be high.
55:21
SPEAKER_01: So that's actually your protein intake.
55:23
SPEAKER_01: So a high AG ratio tells us that you're getting sufficient protein from them on the macro side, which is good.
55:29
SPEAKER_01: Uh, bilirubin is one of those markers that, again, kind of doesn't get tested or managed really effectively.
55:35
SPEAKER_01: Uh, so bilirubin is basically one of our waste products, our cellular waste products.
55:40
SPEAKER_01: And so sometimes that can be an indicator that your detox pathways are a little sluggish.
55:44
SPEAKER_01: So when bilirubin accumulates, it sometimes means that your liver or your kidneys are not filtering as effectively as they should be.
55:51
SPEAKER_02: Interesting.
55:52
SPEAKER_02: What would be the course of action for that?
55:54
SPEAKER_01: Uh, so just better kind of detox, you know, kind of concepts.
55:58
SPEAKER_01: So again, hydration, um, you know, supplements like N acetylcysteine or glutathione, those are great like liver and kidney detoxifiers.
56:07
SPEAKER_00: You need to come in for an IV.
56:09
SPEAKER_02: Yeah, you should.
56:10
SPEAKER_02: Remember, I I with uh LDL and with, I think we talked with Billy Rubin, um, the in the sodium with the hydration.
56:17
SPEAKER_02: So, like, okay, hydration is gonna be important, electrolyte balance is gonna be important.
56:21
SPEAKER_02: Yep.
56:22
SPEAKER_02: Um, and then the uh you're you were asking me, let's dive into your nutrition, like what are you eating?
56:27
SPEAKER_02: Anyway, we came back to cheese because I have cheese in the morning, my eggs, and then like with with lunch, I'll have some kind of cheese, and then I got night, you know, yeah, uh or like if I have chips and like some kind of dip or something, you know?
56:38
SPEAKER_02: Yeah, but I was like, oh, that makes sense, you know.
56:40
SPEAKER_02: I mean, yeah, maybe I just don't process that as well, and then it accumulates.
56:45
SPEAKER_01: So that's a double whammy cheese.
56:47
SPEAKER_01: So cheese is very uh high in producing cholesterol, so it goes back to that LDL number that you were referencing that came back a little abnormal.
56:55
SPEAKER_01: And the other thing is dairy is always more difficult on our digestive tract to process.
57:00
SPEAKER_01: And when we put older, especially as you get older, and when you put more stress on your digestive tract that that in turn affects your pancreas, your kidneys, your liver, you're filtering organs.
57:11
SPEAKER_02: Billy Rubin movie accumulates exactly interesting, yeah.
57:14
SPEAKER_02: My uh yeah, that's cool.
57:17
SPEAKER_02: Um, my iron level was high.
57:19
SPEAKER_02: I but like not by much, but yeah, I thought that was interesting.
57:22
SPEAKER_02: I have spinach like every day.
57:24
SPEAKER_01: And that's generally just an intake issue.
57:26
SPEAKER_01: We generally find that more active people tend to have iron just because uh, you know, people who are more active, they have to circulate oxygen more, and generally that can cause iron to kind of go up.
57:36
SPEAKER_02: Gotcha.
57:37
SPEAKER_02: Um, I thought this was interesting.
57:39
SPEAKER_02: Um, testosterone total.
57:42
SPEAKER_02: Yep.
57:42
SPEAKER_02: I th the from my understanding, the normal ranges is like, I don't know, what 400 to 1000?
57:49
SPEAKER_02: So I was at 844 and it's saying it's high.
57:51
SPEAKER_01: Why would that so for for your age, you know, you were kind of on the high side.
57:56
SPEAKER_00: So is that naturally?
57:58
SPEAKER_00: Yeah, you're not on anything.
58:00
SPEAKER_00: No, that's like we don't see that.
58:02
SPEAKER_02: It's definitely so which is interesting is like how old are you?
58:05
SPEAKER_02: 36 and a half.
58:07
SPEAKER_02: So last uh He's doing leg workouts.
58:10
SPEAKER_02: It's not skipping leg day.
58:12
SPEAKER_02: I actually just did a BFR leg day yesterday for the first time.
58:16
SPEAKER_02: That's a whole wham.
58:16
SPEAKER_02: Yeah, because we did with you on that one.
58:18
SPEAKER_02: Yeah, we did that.
58:18
SPEAKER_02: Yeah, it sucks.
58:20
SPEAKER_02: But um two years ago, no, it was four years ago.
58:24
SPEAKER_02: I had my blood work done with you guys, and my testosterone was like seven, it was like a hundred less.
58:29
SPEAKER_02: It's like seven fifty or seven forty.
58:31
SPEAKER_02: Yeah, and then four years later did it again and higher.
58:33
SPEAKER_02: Yeah, I I attribute that to stress.
58:36
SPEAKER_02: I was definitely a component at that point in time.
58:38
SPEAKER_00: We see that with a lot of people.
58:39
SPEAKER_02: For sure.
58:39
SPEAKER_00: We see so many young guys with their testosterone lower than yours.
58:42
SPEAKER_00: Yeah.
58:43
SPEAKER_00: Like it's wild.
58:44
SPEAKER_01: It's really starting to become a pretty big issue.
58:46
SPEAKER_01: You know, it's younger guys too.
58:48
SPEAKER_01: You know, it's it's just a product of stress and inflammation and high estrogen and pressure, and yeah, it's it's social media comparison games.
58:57
SPEAKER_02: For sure.
58:58
SPEAKER_02: I'm not a millionaire yet.
58:59
SPEAKER_02: I don't have a private jet.
59:01
SPEAKER_02: And I also don't have a six-pack, like what I'm I'm occasionally sad.
59:04
SPEAKER_01: Yeah.
59:04
SPEAKER_01: Yeah.
59:04
SPEAKER_01: Yeah.
59:05
SPEAKER_01: It's true.
59:06
SPEAKER_01: But I mean, in your case in particular, I mean, I wouldn't necessarily consider so so to clarify, the the laboratory reference range says it's high.
59:15
SPEAKER_01: For us, we're gonna say that your numbers are optimal.
59:18
SPEAKER_01: So for you, because of your age, because of your body size, you should be 800 to 1,000.
59:24
SPEAKER_00: And you should be very proud of yourself for that testosterone level.
59:27
SPEAKER_00: We don't see that very often, naturally.
59:31
SPEAKER_01: Yeah, agreed.
59:31
SPEAKER_01: So you're in good you're in great shape when it comes to that.
59:34
SPEAKER_02: I remember I also asked you about the Billirubin with the filtration system, the kidney, liver stuff.
59:40
SPEAKER_02: Um you asked more like supplements.
59:42
SPEAKER_02: What do I take?
59:43
SPEAKER_02: And I take creatine.
59:44
SPEAKER_02: Yep.
59:45
SPEAKER_02: Usually I go in cycles of like every day for a period of you know, 10 weeks, 12 weeks, maybe.
59:51
SPEAKER_02: And then I take like a four to six week break and then get back on it again.
59:54
SPEAKER_02: And you were suggesting like it just could be a lot of dose that you're taking, maybe back it down to five days a week and Instead of seven days a week, the day maybe they just work out or not.
1:00:02
SPEAKER_01: Yeah.
1:00:02
SPEAKER_01: Do you see that with people taking creatine?
1:00:04
SPEAKER_01: Creatine, creatine in the last two, three years has exponentially grown in popularity.
1:00:09
SPEAKER_01: It's one of those supplements that, again, I think it has its potential upside, but I do find that probably for most people, it's more negative than positive.
1:00:18
SPEAKER_01: Creatine puts a lot of stress on your kidneys and your liver, hence the bilirubin.
1:00:23
SPEAKER_01: Interesting.
1:00:24
SPEAKER_01: Um, so creatine can be great for muscle building, it can be great for cognition and brain health, but it does put a lot of stress on your kidneys and your liver.
1:00:31
SPEAKER_01: Um, I've had younger guys put themselves in acute kidney failure from supplementing creatine too much.
1:00:37
SPEAKER_00: Joe's got opinions on creatine.
1:00:39
SPEAKER_01: I do.
1:00:39
SPEAKER_01: And I'm not, I'm not, I don't want to say that I'm against it because I'm not against it completely, but it definitely has to be dosed appropriately.
1:00:46
SPEAKER_01: You have to really hydrate when you're on it.
1:00:48
SPEAKER_01: You have to support your kidney and liver detox systems, and you really have to monitor the dosing.
1:00:54
SPEAKER_02: I definitely need to hydrate more.
1:00:56
SPEAKER_02: Yeah, dosing, what do you?
1:00:57
SPEAKER_02: I know the standard recommendation is five grams a day.
1:00:59
SPEAKER_01: Very rarely do I ever recommend more than a five gram in a 24-hour period.
1:01:03
SPEAKER_01: Interesting.
1:01:04
SPEAKER_02: Okay.
1:01:05
SPEAKER_02: All right.
1:01:05
SPEAKER_01: I've been taking like eight grams.
1:01:07
SPEAKER_01: Yeah, well, but also you're a giant human being.
1:01:11
SPEAKER_01: So, you know, your dosing's probably gonna be a little bit different than my dosing, right?
1:01:15
SPEAKER_01: You got six inches on me.
1:01:16
SPEAKER_02: We're a footprint female, right?
1:01:18
SPEAKER_02: Totally.
1:01:19
SPEAKER_02: Um, and then cortisol uh was one more, I think I fell within the normal range.
1:01:24
SPEAKER_01: Yep.
1:01:25
SPEAKER_01: Your cortisol was reasonably good.
1:01:27
SPEAKER_01: You were at 8.6.
1:01:28
SPEAKER_01: And so again, the cortisol being that stress response hormone.
1:01:32
SPEAKER_01: So generally we like to keep that level less than eight.
1:01:34
SPEAKER_01: So if you're at 8.6, I'd say again, as a very busy man, entrepreneur, like that's a that's a good score.
1:01:42
SPEAKER_01: Yeah, I mean, that's it's a pretty good score.
1:01:45
SPEAKER_01: Um, so yeah, I think you're doing pretty good in that kind of stress response mode.
1:01:49
SPEAKER_01: That's good.
1:01:49
SPEAKER_02: Yeah, I don't remember what my cortisol was in the previous test, but I remember specifically in that time frame, I think it was the fall of 2021.
1:01:57
SPEAKER_04: Yeah.
1:01:57
SPEAKER_02: Um, I was doing a lot and uh yeah, you know, had just had a baby.
1:02:03
SPEAKER_02: We were pregnant, I was moving into this new space.
1:02:06
SPEAKER_02: But um, I remember I had stress-induced alopecia.
1:02:09
SPEAKER_02: So my facial hair was patchy, it was just growing.
1:02:12
SPEAKER_02: And I was like, I didn't really understand why.
1:02:14
SPEAKER_02: Maybe it was a year after that.
1:02:15
SPEAKER_02: But anyway, it wasn't that time frame.
1:02:17
SPEAKER_02: Yeah.
1:02:17
SPEAKER_02: So I don't remember what my cortisol levels at that point, if it correlated, you know, but I can guarantee you it was higher than where it is on this one.
1:02:25
SPEAKER_01: And I can guarantee you it was one of the big contributors to the hair thinning and hair loss.
1:02:29
SPEAKER_01: I see it all the time.
1:02:30
SPEAKER_00: It's so funny with men and women, we see they all come in for like the vanity things, a lot of hair loss, women and men.
1:02:37
SPEAKER_00: Like I would say 50-50, if not like, and it's it's a key into Joe getting in and being like, let's let's it's not just your hair, like let's see what else is going on.
1:02:47
SPEAKER_01: Yeah, right.
1:02:47
SPEAKER_01: Someone will come in and they want to talk about stem cell for hair rejuvenation.
1:02:51
SPEAKER_01: Or they're okay, let's let's slow down, let's figure out why the hair is thinning first.
1:02:55
SPEAKER_02: Yeah, before you set up for not to be successful anyway.
1:02:58
SPEAKER_02: Correct.
1:02:58
SPEAKER_02: And it's a waste of time.
1:02:59
SPEAKER_00: Look at women who just have babies, they get it a lot too.
1:03:01
SPEAKER_00: It's probably because it's stress on your body, stress on your mind.
1:03:04
SPEAKER_00: You're not sleeping.
1:03:04
SPEAKER_02: So a huge hormonal dysregulation.
1:03:07
SPEAKER_00: That's a good stress.
1:03:08
SPEAKER_00: But imagine people who, like you guys, are, you know, working nonstop and it's like, you know, you're not sleeping or you're traveling.
1:03:14
SPEAKER_00: I think that we have a lot of people that come in for again, the vanity reasons.
1:03:18
SPEAKER_00: And it's like there is an underlying situation going on.
1:03:20
SPEAKER_00: I think that our outside reflects very much what's going on on the inside.
1:03:25
SPEAKER_00: Totally.
1:03:25
SPEAKER_00: And sometimes that's what it takes for people to come in.
1:03:27
SPEAKER_00: They're like, oh, my hair is messed up.
1:03:29
SPEAKER_00: Now I gotta, now I gotta think about my health.
1:03:31
SPEAKER_02: Yeah, yeah.
1:03:32
SPEAKER_02: Totally.
1:03:32
SPEAKER_02: Is there anything else that like a key indicator that you look for people like on their blood work and stuff?
1:03:39
SPEAKER_02: Like common talking points.
1:03:40
SPEAKER_01: Yeah, I mean, again, I I see so many different things.
1:03:44
SPEAKER_01: Um, there are a lot of kind of consistencies.
1:03:46
SPEAKER_01: Ironically, it goes back to this cortisol.
1:03:48
SPEAKER_01: Again, everybody loves the cortisol.
1:03:50
SPEAKER_01: Everybody is stressed or perceives their stress load to be high, or you know, has this going on or that going on?
1:03:56
SPEAKER_01: Or I talk a lot about cortisol with people.
1:03:59
SPEAKER_01: And again, it's both a physical thing and a mental thing.
1:04:02
SPEAKER_01: I think people only think about the mental side of cortisol, but it can also be physical, right?
1:04:08
SPEAKER_01: An athlete, a crossfitter, uh, you get into a car accident, or physiological.
1:04:12
SPEAKER_01: So, like vitamin deficiencies or hormonal dysregulation, that creates a physiological stress response within our body.
1:04:19
SPEAKER_03: Yeah.
1:04:19
SPEAKER_01: So even if people are like on cloud nine, no stress in their life whatsoever, they can still have high cortisol because of the physical or the physiological reasons.
1:04:27
SPEAKER_03: Yeah, interesting.
1:04:28
SPEAKER_01: So that's a big one for us for sure.
1:04:30
SPEAKER_01: We deal a lot with hormone dysregulation as well, male, female, thyroid, adrenals.
1:04:35
SPEAKER_01: Um, those are probably two of the more common things that we see in most of our patients.
1:04:39
SPEAKER_00: Yeah.
1:04:40
SPEAKER_01: Interesting.
1:04:41
SPEAKER_00: A lot of no sleep, a lot of hair loss, a lot of just yeah, sleep and hair loss are big ones.
1:04:45
SPEAKER_01: Yeah.
1:04:45
SPEAKER_01: Fertility issues.
1:04:46
SPEAKER_00: Oh, God.
1:04:47
SPEAKER_01: Especially now post-COVID.
1:04:49
SPEAKER_01: Interesting.
1:04:49
SPEAKER_01: A lot of fertility is a problem.
1:04:50
SPEAKER_00: A lot of long COVID problems.
1:04:52
SPEAKER_00: I mean, even me, I've got markers that like we've never seen since I've gotten COVID.
1:04:56
SPEAKER_02: Interesting.
1:04:57
SPEAKER_00: Just interesting.
1:04:58
SPEAKER_02: What like what correlates?
1:04:59
SPEAKER_00: Autoimmune mark.
1:05:00
SPEAKER_02: Well, again, it goes into Joe saying everybody has their thing, their thing that comes out, and you know, yeah, mine is autoimmune conditions that you know we've always known are kind of like a little bit there, but it's spiked with a lot of COVID or just previous COVID issues.
1:05:15
SPEAKER_02: Just previous COVID issues.
1:05:16
SPEAKER_00: And other than me, we see it so much.
1:05:18
SPEAKER_00: Children, adults, but fertility is a big one.
1:05:21
SPEAKER_00: So many.
1:05:22
SPEAKER_01: So many.
1:05:23
SPEAKER_00: And so many people don't talk about it, they don't see it.
1:05:25
SPEAKER_02: Yeah.
1:05:25
SPEAKER_00: But we see it all the time.
1:05:27
SPEAKER_00: And young people too.
1:05:29
SPEAKER_02: Wow.
1:05:29
SPEAKER_02: That's interesting.
1:05:30
SPEAKER_02: Yeah.
1:05:30
SPEAKER_02: What do y'all what do y'all do for fertility?
1:05:33
SPEAKER_01: Same thing.
1:05:33
SPEAKER_01: We gotta dive in.
1:05:34
SPEAKER_01: You know, it's you gotta dive into the male component and the female component.
1:05:38
SPEAKER_00: Is it a problem getting pregnant?
1:05:39
SPEAKER_00: Is it a problem staying pregnant?
1:05:40
SPEAKER_00: Is it like what's going on?
1:05:42
SPEAKER_00: You have to look at both people because it's not just it's not just the woman, it's it's both, and yeah, but sometimes, you know, it just depends.
1:05:51
SPEAKER_03: Yeah, interesting.
1:05:52
SPEAKER_01: Well, obviously, a lot of hormonal, but also a lot of inflammatory micronutrients, a lot of different things on both the male and the female side.
1:06:01
SPEAKER_02: I don't imagine the same kind of directional changes or an investigation, like environmental things, nutritional stress, all that stuff, and then a cascade of events lead down the road.
1:06:12
SPEAKER_04: Yeah.
1:06:13
SPEAKER_02: Interesting.
1:06:14
SPEAKER_02: Um, well, thanks you guys for coming in.
1:06:16
SPEAKER_02: Um super insightful, and I hope a lot of people got some good information from this.
1:06:22
SPEAKER_02: What would y'all want to let people know, like about you guys, and then when to call?
1:06:27
SPEAKER_01: I mean, yeah, I mean, ultimately, I would just say again, if you feel in your gut that something is wrong or something is not right, or you're just not feeling as optimal as you should, and you're just not getting anywhere, you know, reach out because chances are there is something and your intuition is right.
1:06:44
SPEAKER_01: There is some component of something biologically going on that is not well.
1:06:48
SPEAKER_01: And come in and just have a chat with us.
1:06:50
SPEAKER_01: Again, we, you know, you don't have to be in South Florida.
1:06:53
SPEAKER_01: We have patients in 40 states and 10 countries.
1:06:56
SPEAKER_01: So a lot of what we do can be done remotely.
1:06:59
SPEAKER_01: Um, but just, you know, if you don't feel right, if you're sick of tired of feeling tired, if you're not getting the answers that you want.
1:07:07
SPEAKER_00: It's not in your head.
1:07:08
SPEAKER_01: It's not in your head.
1:07:09
SPEAKER_01: You know, we're smart, we're intuitive species.
1:07:12
SPEAKER_00: And there's so much good knowledge coming out.
1:07:14
SPEAKER_00: That's what we're so excited about.
1:07:16
SPEAKER_00: There's so many people who are now not accepting just feeling blah, feeling average.
1:07:21
SPEAKER_00: Like there's so there's so much light on what we're doing, and it's it's beautiful and it's promising.
1:07:27
SPEAKER_00: It is, yeah.
1:07:28
SPEAKER_01: And and again, just know that you know, we're gonna treat you individually, right?
1:07:32
SPEAKER_01: We're not a one size fits all shop.
1:07:34
SPEAKER_01: Every situation and experience and lifestyle is unique, and you have to be treated that way.
1:07:39
SPEAKER_01: So that's where traditional medicine doesn't do a really effective job.
1:07:43
SPEAKER_01: Yeah.
1:07:43
SPEAKER_01: And so that's where we're really different and where we have the ability to really help a lot of people.
1:07:47
SPEAKER_01: Yeah.
1:07:48
SPEAKER_02: Cool.
1:07:48
SPEAKER_02: What's the best way for people to reach out?
1:07:50
SPEAKER_00: They can call our office at 561-331-2983, or they can reach out on our website and there's a little icon, you know, it pops up and it's like, how can we help you?
1:07:59
SPEAKER_02: The little chat box.
1:08:00
SPEAKER_00: Yep.
1:08:00
SPEAKER_00: And that's www.r3health.co.
1:08:04
SPEAKER_00: Co, right?
1:08:05
SPEAKER_00: CO.
1:08:05
SPEAKER_00: Yeah, C O.
1:08:06
SPEAKER_02: Yeah, yeah.
1:08:06
SPEAKER_02: Yeah.
1:08:07
SPEAKER_02: R3health.co.
1:08:08
SPEAKER_02: Cool.
1:08:09
SPEAKER_02: Well, thanks again for coming in.
1:08:11
SPEAKER_02: And uh, we'll have to get another round of you know, of other stuff we can just talk all day about, you know, because we're nerds on these health things.
1:08:18
SPEAKER_02: So it's just cool.
1:08:18
SPEAKER_02: And if y'all have any questions, like or comments, questions, concerns, quite opinions, like we're always open to ideas.
1:08:24
SPEAKER_02: And if you have any issues that you feel like we can help, we'd we'd love to help.
1:08:27
SPEAKER_02: Feel free to reach out to us.
1:08:28
SPEAKER_02: We can at least talk on the phone and maybe get an idea of where we should send you and refer out to our networking people like them at R3Help.
1:08:35
SPEAKER_02: So, um, yeah, if you have any questions, don't hesitate to reach out, and we'll catch y'all next time.