Latest / The Loop Podcast: Peptides, Longevity & Women’s Wellness / EP 69: Facelifts, Peptides & What Actually Works After 40 | Dr. Jonathan Zelken

Transcript

EP 69: Facelifts, Peptides & What Actually Works After 40 | Dr. Jonathan Zelken · The Loop Podcast: Peptides, Longevity & Women’s Wellness

0:00
SPEAKER_00: Welcome to Loop Podcast.
0:01
SPEAKER_00: The content shared here is for informational and educational purposes only and is not intended as medical advice.
0:06
SPEAKER_00: Throughout the show, I'll be sharing my own story and personal wellness tools and hacks that have worked for me and my guests will share what's worked for them.
0:13
SPEAKER_00: These conversations are based on personal experience and are not a substitute for professional medical guidance.
0:18
SPEAKER_00: Always consult your healthcare provider before sharing any new treatment, supplement, or wellness routine.
0:23
SPEAKER_00: We'll be exploring mostly peptide-related therapies and other emerging health tools.
0:27
SPEAKER_00: But remember, everyone's health needs are different, and what works for one person may not be right for another.
0:31
SPEAKER_00: By listening, you agree that neither I nor any guests in this podcast is offering personalized medical advice.
0:36
SPEAKER_00: Thank you for being here and let's keep learning and growing together.
0:42
SPEAKER_00: Welcome to Luke Podcast, where we dive deep into all things health, wellness, and fitness.
0:48
SPEAKER_00: Plus the fascinating world of peptides.
0:50
SPEAKER_00: Each episode, we bring you insights from experts and guests from across the industry to help you optimize your health and longevity.
0:58
SPEAKER_00: I'm your host, Steph.
0:59
SPEAKER_00: Now let's jump in.
1:04
SPEAKER_00: So back by very popular demand, I have the world famous Dr.
1:10
SPEAKER_00: Jonathan Velc.
1:12
SPEAKER_00: You know, the time with this white, I don't see white scrubs very often.
1:16
SPEAKER_03: Well, some people tell me I look like a painter.
1:18
SPEAKER_03: And other people are just like, what is that?
1:20
SPEAKER_03: And then I was sweating after surgery and it was like a wet t-shirt kind of thing going on.
1:24
SPEAKER_03: You know what I mean?
1:26
SPEAKER_03: But um, you know, I saw I saw him and I liked him.
1:28
SPEAKER_03: I think it looks clean, it's crisp, it's, you know, it's different.
1:32
SPEAKER_03: Um, and I I had to get a couple pairs of them.
1:35
SPEAKER_03: I just I had to try it.
1:36
SPEAKER_03: I don't know if I I'm in love with it yet either.
1:39
SPEAKER_03: Trying it out on the podcast, because this is a, you know, this is a largely auditory thing.
1:43
SPEAKER_03: So I figured I can get away with it here.
1:45
SPEAKER_00: The world of plastic surgery is interesting.
1:47
SPEAKER_00: I what I'm finding is that it's way more accessible in terms of people talking about it, right?
1:53
SPEAKER_00: On social media, people aren't hiding all their procedures.
1:55
SPEAKER_00: In fact, they're saying, like, you know, that trend right now on TikToks, like the five things that are worth it and all that kind of stuff, which I kind of find is funny.
2:02
SPEAKER_00: But people are talking about aesthetics more.
2:05
SPEAKER_00: They're talking about when to get a facelift.
2:07
SPEAKER_00: If you're already getting a facelift and, you know, breasts versus fat transfer.
2:12
SPEAKER_00: And it there's a lot going on there that sometimes is confusing, but people are talking about it.
2:16
SPEAKER_00: And so I love one thing I love about this platform is I can kind of talk about anything where I can't talk about it on other platforms.
2:23
SPEAKER_00: And B, I want to provide knowledge for people.
2:25
SPEAKER_00: So they're like, oh, I learned something from this, or like, wow, I was maybe gonna be interested in a procedure.
2:30
SPEAKER_00: I wasn't sure what it was.
2:31
SPEAKER_00: I don't know.
2:32
SPEAKER_00: So I just thought we could come in here.
2:34
SPEAKER_00: I also want to have fun because I think we banter really, so we got some fun this or that that we're gonna play with.
2:40
SPEAKER_00: But I want to start off like, what have you been up to?
2:42
SPEAKER_03: A lot has changed since I was here.
2:44
SPEAKER_03: Was it Christmas?
2:45
SPEAKER_03: I feel like we were drinking.
2:45
SPEAKER_03: Yeah, it was Christmas.
2:46
SPEAKER_03: We were drinking a toasty cocktail fire behind it.
2:48
SPEAKER_00: Yeah, yeah.
2:49
SPEAKER_03: Very romantic atmosphere.
2:51
SPEAKER_03: Um, I think there was a Christmas tree.
2:54
SPEAKER_00: I'll make sure I have you back next time around Christmas.
2:57
SPEAKER_03: It smelled, yeah, it smelled like Holly and stuff like that.
2:59
SPEAKER_03: Um, and mistletoe and all the great things.
3:02
SPEAKER_03: Um, a lot has changed since I was here.
3:05
SPEAKER_03: I've moved.
3:06
SPEAKER_03: That's a big deal.
3:07
SPEAKER_03: Your office.
3:08
SPEAKER_03: After 10 years in a beautiful looking practice, but a functionally devastated practice.
3:16
SPEAKER_00: I don't like that you're on top of the biggest social place in Newport Peace.
3:19
SPEAKER_03: No parking, it was a fishbowl, the temperature was awful.
3:25
SPEAKER_03: It looked nice, but I think my whole personality is substance above bluster.
3:30
SPEAKER_03: And I think that place is all about how you look, how things appear, and not how they function.
3:36
unknown: Yeah.
3:36
SPEAKER_03: And so I was always poor for your practice.
3:39
SPEAKER_03: Yeah, I was just frustrated by it as of like year four or five.
3:42
SPEAKER_03: I just couldn't take it anymore.
3:44
SPEAKER_03: And um, I decided to pull the trigger and make a huge real estate investment and uh build out the practice of my dreams, which definitely speaks to my personality and who I am and my aesthetic more than the last one.
3:56
SPEAKER_03: And also built an OR.
3:57
SPEAKER_03: It more importantly than the practice, the clinic is the actual OR.
4:00
SPEAKER_03: And so, you know, gone are the days operating room, operating room, yes, surgery center.
4:05
unknown: Yes.
4:06
SPEAKER_03: So gone are the days of borrowing instruments, begging people for time, working with random staff that I didn't personally hire.
4:13
SPEAKER_03: Um, it's a really, I think, uh tremendous scary investment.
4:18
SPEAKER_03: It's a scary time on one hand, but it's also so unbelievably exciting and rewarding and gratifying.
4:24
SPEAKER_00: Congratulations.
4:25
SPEAKER_03: Well, thanks.
4:26
SPEAKER_00: I haven't seen it.
4:26
SPEAKER_00: I need to come in.
4:28
SPEAKER_03: You know what?
4:28
SPEAKER_03: You need to come in, period, because I saw you for like one post-op appointment and then you're like, all right, peace out, I'm doing jumping jacks.
4:35
SPEAKER_03: No, but okay.
4:36
SPEAKER_00: I did come in recently because I had I had that like cyst behind my ear.
4:42
SPEAKER_00: And remember, I'm like, I want you to look at like what this is.
4:44
SPEAKER_03: But that was in the old office, and I didn't put that cyst there.
4:47
SPEAKER_03: Let's make that, let's put that on the record.
4:48
SPEAKER_00: Yeah, no, it was the old office, but I did come in and do my, I'm just saying I did do my post stop that day because you made me like I look at it, but you've got to do your post stop.
4:56
SPEAKER_00: Okay.
4:56
SPEAKER_00: Well, so if you want, I mean, you didn't ask me, but I'm gonna tell you that I am super happy with my results.
5:02
SPEAKER_00: Um, and I've talked about what I did, you know, I did my eyes and I did a CO2, and then I did my breasts.
5:08
SPEAKER_00: My breasts were complicated.
5:10
SPEAKER_00: And I feel like that's something that like I was thought about this the other day.
5:14
SPEAKER_00: Is and women have such an interesting relationship with their breasts, and I'm sure you can probably write a book about it, right?
5:20
SPEAKER_00: For what you do in general.
5:22
SPEAKER_00: But you really were hesitant to do it because you're like, if I do it, I want to make sure that I do it really well.
5:29
SPEAKER_00: You just knit.
5:30
SPEAKER_00: I'm so happy, like I'm still athletic, I can still fit into things, that they're exactly the right proportion for my body.
5:37
SPEAKER_00: Um, they aren't having any of the bottoming out.
5:39
SPEAKER_00: Like all the issues that like I had are great.
5:42
SPEAKER_00: And say at 51, it's probably the first time I've ever been like, I'm really happy.
5:46
SPEAKER_03: Wow.
5:47
SPEAKER_03: Well, thank you for that.
5:48
SPEAKER_03: Thank you for that testimonial.
5:49
SPEAKER_03: I really appreciate that.
5:50
SPEAKER_00: They all settle, right?
5:51
SPEAKER_00: It takes a minute for everything to kind of settle into your body.
5:53
SPEAKER_03: I think if things look too good too soon, sometimes that's a little bit of a warning.
5:58
SPEAKER_03: I think to create uh to create great long-lasting results.
6:03
SPEAKER_03: Sometimes you just need to, you know, do more work, create more trauma, have a little bit more recovery time.
6:08
SPEAKER_00: And then recovery was gnarly.
6:10
SPEAKER_00: But it was worth it.
6:11
SPEAKER_03: Enjoy the results for perpetuity.
6:12
SPEAKER_03: You know, to like this little mini tweak where I make a tiny little scar and cut some skin off, and oh my god, I felt great.
6:19
SPEAKER_03: There was no recovery whatsoever.
6:20
SPEAKER_03: I went back to work the next day.
6:22
SPEAKER_03: That's all good.
6:23
SPEAKER_03: But then when a year elapses and you look the same again, it's like, oh shoot, now we've got to go and do it the right way.
6:29
SPEAKER_00: Doctor, it's like the quick fix that I don't like in everything, right?
6:32
SPEAKER_00: Even like in my world, it's like they want the peptide to work yesterday.
6:36
SPEAKER_00: You know, I'm like, oh my gosh, it's it's a tool of many other things, right?
6:39
SPEAKER_00: And anything I think worth working, worth having is working for.
6:44
SPEAKER_00: And I think even when it comes to, and I talk about this, like, if to do something, I would rather do a surgery than continue to pay for injectables or something needs to get lifted, you gotta lift it.
6:55
SPEAKER_00: Wouldn't you agree?
6:56
SPEAKER_03: People are definitely getting a really bad rap these days.
6:59
SPEAKER_03: And I I I don't know if that's fair.
7:01
SPEAKER_03: I think maybe around the time of the pandemic, everybody became very, very um consumed by their looks, even more so than historically we as a species have done, because we're looking in cameras all the time and Zoom meetings.
7:15
SPEAKER_03: And not everybody can afford surgery, not everybody's that you know wants surgery, not a lot of people are afraid of it, frankly, and rightfully so.
7:21
SPEAKER_01: Yeah.
7:22
SPEAKER_03: Um, and so fillers got so big that you know there was already a nursing shortage, now everyone's leaving hospitals and becoming, you know, med spas are popping up everywhere, and everybody's doing injectables, and nobody's really got that 10-year experience with products or technologies, and so that they're just slinging everything they have, especially in this state, just so we can continue to pay our bills.
7:45
SPEAKER_03: Yeah, and now, years later, we're starting to really see the negatives that were never discussed initially.
7:53
SPEAKER_03: Right.
7:53
SPEAKER_03: And so I think everything takes time.
7:56
SPEAKER_03: Um, you're gonna ask me this, this and that, this or that, I'm sure, and we're gonna get into it.
8:00
SPEAKER_03: But don't peek again.
8:02
SPEAKER_03: There's I'm not peeking, but there's something about being an old soul and trusting tried and true technologies and not going for that quick, easy fix.
8:11
SPEAKER_03: I'm sure you're gonna ask me some questions and it'll fall into this answer.
8:15
SPEAKER_03: But anyway, carry on.
8:16
SPEAKER_03: I I thanks for letting me jump on that one.
8:18
SPEAKER_00: No, well, but I think it's important.
8:20
SPEAKER_00: I think it's important too, because yes, it's not everyone's cup of tea.
8:23
SPEAKER_00: But I do think, and I talk about this with my girlfriend, is that I'm sorry, when I go in for Botox, it's not cheap.
8:29
SPEAKER_00: You know, and they're like, oh, let's do sculpture.
8:31
SPEAKER_00: And then all of a sudden you're like, you walk out of there and you're like, well, that was like my mortgage for how many years that's expensive.
8:37
SPEAKER_00: So I guess I think what I like to talk about too is that like sometimes it's worth saving your money and just saying, like, if at 50 or wherever you are, 60, 70, 40, I mean the age doesn't really matter.
8:48
SPEAKER_00: At some point, if you're constantly looking and trying to get a quick fix and it's not working, like it might be worth looking into different avenues, it might be worth saving or just accepting the way you are, but throwing injectables and fillers to lift in, I just think it's worth anyway.
9:01
SPEAKER_03: The financial discussion's not irrelevant.
9:03
SPEAKER_03: And and you kind of made me feel bad about myself for a second.
9:06
SPEAKER_03: So I'm just thinking about because I have to leave this beautiful podcast a little early because I've got to go back and do surgery.
9:11
SPEAKER_03: That surgery is fat transfer to a young man's face, especially around his eyes.
9:15
SPEAKER_03: And I'm not gonna say numbers, but it's basically the cost of four syringes of filler.
9:19
SPEAKER_03: Yeah, and it's a surgeon taking fat out of a body, processing it, reinjecting it, spending two and a half hours, and it costs as much as four syringes of product.
9:30
SPEAKER_03: That's crazy.
9:32
SPEAKER_03: So, filler, it seems like a very entry-level product, and it is, but it's not without risk, and it's not without financial cost.
9:41
SPEAKER_00: Why don't we talk about using fat transfer?
9:44
SPEAKER_00: I've done that to my face before.
9:46
SPEAKER_00: So tell me about how you know what makes it great, why it's you know, I would maybe superior to something else, or not.
9:53
SPEAKER_00: Just talk about it.
9:54
SPEAKER_00: My audience might have no idea what that even entails.
9:56
SPEAKER_00: Like, where do you get the fat from?
9:57
SPEAKER_00: Like, how does it work?
9:58
SPEAKER_00: How long does it last?
9:59
SPEAKER_03: Well, I think fat transfer is a good conversation for both of us because it's definitely where our worlds collide.
10:03
SPEAKER_03: You get the benefits of you know, volume, but you also have that biologic aspect to it.
10:08
SPEAKER_03: And the biologic aspect of fat grafting is what excites me the most.
10:13
SPEAKER_03: Okay, just like peptides, it's not like you get this instant result.
10:17
SPEAKER_03: There is the instant result of swelling and the volume of the fat that's grafted, some of which may not take, but the real benefit comes from the biologic aspects of injecting basically stem cells that come with the fat.
10:30
SPEAKER_03: So when you have fat in your body and you inject it, it doesn't all survive, some of it breaks down, but there's you know wound healing proteins and things like that within the fat, and there's a regenerative aspect from a scientific or evidence-based standpoint.
10:46
SPEAKER_03: I can say in breast cancer, for example, when you fat graft a radiated breast, you can reverse some of that radiation injury.
10:51
SPEAKER_03: It's the only regenerative thing that I offer with a scalpel, and I think that's really, really cool.
10:58
SPEAKER_00: That's very cool.
10:59
SPEAKER_03: Now, it may not be Instagrammable, that's something else I like about it.
11:04
SPEAKER_03: It's one of those things that I've done with my facelifts almost exclusively since I would say 2016 or 2017.
11:11
SPEAKER_03: I don't, I can remember two facelifts that I didn't do fat grafting, and everyone's like, I don't want my face to be fatter, especially in this empic era.
11:16
SPEAKER_03: Nobody wants their face to be fatter, but I'm like, it's not about making your face fatter, it's about restoring a certain glow, which you have, by the way.
11:23
SPEAKER_03: And you told me you didn't get fat grafting with your facelift.
11:26
SPEAKER_00: I did.
11:27
SPEAKER_03: You did get it.
11:27
SPEAKER_03: Okay, well, that's where the glow comes from.
11:29
SPEAKER_00: Well, but I've never talked about that I got a facelift before.
11:31
SPEAKER_00: I mean, okay, let's talk.
11:32
SPEAKER_00: I want to talk about this.
11:33
SPEAKER_00: I haven't actually shared this with or anywhere on this before.
11:37
SPEAKER_00: So at 48, I decided to get a deep flame facelift.
11:44
SPEAKER_00: And it was a very interesting decision because at the time, I'm now 51.
11:48
SPEAKER_00: I didn't have a lot of people who were talking about it.
11:50
SPEAKER_00: Even like me talking about this makes me feel a little anxious because I'm like, you know, sometimes, even though like everyone in my world knows, and I'm actually a talk to everyone about it in that sense.
11:58
SPEAKER_00: I just haven't gone publicly outside of my world to talk about it.
12:02
SPEAKER_00: Is my whole process, my philosophy is, and this is how I am with everything in my life, is like I want to be proactive.
12:08
SPEAKER_00: And so everything that you can correct me if I'm wrong with this, but everything I had read was like when you start seeing things go in a different direction than you launch, and you're constantly pulling like mine was my jowls up.
12:19
SPEAKER_00: Um it's time to look at something.
12:22
SPEAKER_00: And so I was I was a candidate, according to my surgeon.
12:25
SPEAKER_00: I'm not gonna mention his name.
12:26
SPEAKER_00: I was a candidate, and I decided I wanted, well, my collagen was so good.
12:31
SPEAKER_00: I didn't want to do it when I was 50 because then it's like, oh, she got her face in at 50.
12:35
SPEAKER_00: I kind of wanted to do it before anyone thought I had to do it.
12:37
SPEAKER_00: I wanted to slide under the radar.
12:39
SPEAKER_00: It was a very, very personal decision.
12:42
unknown: Dr.
12:42
SPEAKER_00: Zelkin, and it was it was a lot.
12:45
SPEAKER_00: I mean, it was like my kids saw it, it was not a minor decision, but I'm so happy I did it at the age that I did it.
12:52
SPEAKER_03: Mentioned even on my own Instagram that my average facelift patients in our mid-40s.
12:56
SPEAKER_01: Yeah.
12:57
SPEAKER_03: For the the this whole concept of the preventative facelift or the early intervention facelift, there's there's a reason for it.
13:03
SPEAKER_03: Yeah.
13:03
SPEAKER_03: Because when you wait till you're 73, A, it's really hard to tuck all of that back into place.
13:10
SPEAKER_03: When integrity is scan, yeah.
13:12
SPEAKER_03: Quality of tissue is not there.
13:13
SPEAKER_03: And you have a sudden change in appearance that becomes recognizable.
13:19
SPEAKER_03: The secret is when you start to see the pavement crack, you know, the signs that you were talking about, jowls and and the platismal banding and stuff like that, and you can certainly lift it and it looks a lot better.
13:28
SPEAKER_03: The objective is not to change how you look, yeah, it's to get you to back to where you were, maybe 10 or 15 years earlier, and to keep you there while your tissue is great and you still have your 40s, 50s, and 60s, which are now prime years, to enjoy it.
13:42
SPEAKER_00: Yes, and I enjoy it.
13:43
SPEAKER_00: I'm actually nervous.
13:44
SPEAKER_00: I just talked about it.
13:45
SPEAKER_00: Isn't that funny?
13:46
SPEAKER_03: Well, when you're out there to Stephanie's parents, I just want to let you know that she's a liar.
13:51
SPEAKER_03: This is not a decision that she took, you know, very lightly to, you know, admit this.
13:55
SPEAKER_00: No, it's not even a parent.
13:56
SPEAKER_00: The funny thing is, a good job is that you don't even know, right?
13:58
SPEAKER_03: So when you don't know and people speculate, that is a sign of a good facelift.
14:02
SPEAKER_00: Yeah, and so I'm saying it just to give anyone permission, because I feel like I wish someone actually maybe someone did give me permission.
14:09
SPEAKER_00: I actually had some friends who'd had facelifts, and so I was actually very eager seeing their results.
14:14
SPEAKER_00: I was like, you know, I think this is the right time in my life.
14:17
SPEAKER_00: I was, you know, getting divorced.
14:19
SPEAKER_00: I kind of wanted to just feel like I was, you know.
14:22
SPEAKER_03: That's a really popular time to do it.
14:24
SPEAKER_00: Yeah.
14:24
SPEAKER_03: And you know, my age and it's a it's a reset, you know, it's like this this sort of reinvention of who you are.
14:30
SPEAKER_00: It takes courage though, because it's it's your face.
14:33
SPEAKER_00: Yeah, it's not like your arm.
14:36
SPEAKER_03: You know, and she's oh I love her though.
14:38
SPEAKER_00: She's great.
14:38
SPEAKER_00: Okay.
14:39
SPEAKER_00: All right.
14:39
SPEAKER_00: Well, I got now, I'm out of the closet on that one.
14:41
SPEAKER_00: And I think the only thing I'm gonna say, and I said I'm not gonna say my doctor's name for a lot of different reasons, but one of them is what's crazy, and we've talked about this, is I actually a friend had asked me, and so I had said who the doctor was, and she went, I guess, and did a consult.
14:56
SPEAKER_00: I didn't know.
14:57
SPEAKER_00: And she comes back and she told me what he's charging right now because he's done some celebrities, and I my job was on the ground, and this was only what 48, 49, like four years ago.
15:08
SPEAKER_00: I mean, it is like stupid, stupid, and it's so unnecessary.
15:11
SPEAKER_00: And so I guess that's why I don't want to talk about it, because I think it's just so unnecessary at the time.
15:16
SPEAKER_00: And there's so many doctors, including you, and so why I didn't go back to him, who does amazing work.
15:20
SPEAKER_03: So I think anyway, I think um, and and I'm I feel comfortable speaking on this.
15:26
SPEAKER_03: Um, I I don't I I maybe I mentioned this on a previous podcast, but one of the more disturbing moments of this past year of my life was going to dance rehearsal with my daughter.
15:35
SPEAKER_00: Oh, you told us a story.
15:36
SPEAKER_03: I'm gonna re I'm gonna repeat it.
15:37
SPEAKER_03: And then overhearing the cosmetic dentist's wife say, if your surgeon doesn't charge a hundred thousand or more, run for this.
15:47
SPEAKER_03: Because they can't command it.
15:50
SPEAKER_03: I think the way you can command$100,000 plus, and the surgeon you're talking about is is three times that.
15:55
SPEAKER_03: Yeah, would be celebrity fame, insta-fame, social media fame, uh, publicists, and all of these things.
16:04
SPEAKER_03: In general, that that financial number cannot be met if you're not good.
16:10
SPEAKER_03: Yeah.
16:11
SPEAKER_03: So you to command those numbers, you are gonna be a good surgeon.
16:14
SPEAKER_03: There's no question about it.
16:16
SPEAKER_03: But the best facelifts I've seen, hands down, have cost between 30 and 70,000.
16:22
SPEAKER_01: I agree.
16:23
SPEAKER_03: Hands down.
16:23
SPEAKER_03: People who are serious about their job, who are focused on the art and the science and the craft of what they do, and are not celebrities in and of themselves, have that time and focus to commit to patient care and evolving and creating something new and special.
16:42
SPEAKER_00: And to your point, too, is I also think it's very important because I I looked at um a woman surgeon who I really love her work.
16:50
SPEAKER_00: It's really hard if you're not doing it, either you're committed to staying somewhere for a couple weeks.
16:56
SPEAKER_00: You know, I think that piece to me is like I wanted somebody like within an hour driving distance.
17:01
SPEAKER_00: You know, I wanted somebody that was like around me.
17:04
SPEAKER_00: And I know you get a lot of people from out of state and stuff, and they could they can come and stay for weeks.
17:08
SPEAKER_00: I think that was the one thing for me is like I just didn't have my children the luxury of being gone for like too long of a time.
17:14
SPEAKER_00: So it kind of gets you stuck who you are at the time.
17:18
SPEAKER_03: I find it a little bit frustrating to have patients from all over the world, frankly, and certainly all over the state and country.
17:25
SPEAKER_03: But it is frustrating because it's hard to get people in for follow-ups if there's no complications.
17:30
SPEAKER_00: You can't get me up for a follow-up when I live across the street.
17:32
SPEAKER_00: It's really hard.
17:33
SPEAKER_03: And so, how are we as surgeons really expecting ourselves to improve if we're not constantly seeing our results longitudinally?
17:40
SPEAKER_03: I mean, we we we do something and we and the patients don't come back.
17:44
SPEAKER_03: We're gonna assume that we did something right.
17:46
SPEAKER_03: But really seeing something over and over again allows a surgeon to advance and to grow from his or her results instead of just assuming that hey, I'm a household name.
17:56
SPEAKER_03: Yeah, my work is gospel.
17:59
SPEAKER_03: The the greatest surgeons, again, I'll say the last time are the ones who are constantly studying, constantly evolving, and never assuming that what they're doing is the end all be all.
18:10
SPEAKER_03: I like that.
18:11
SPEAKER_03: You know, you're a sociopath.
18:14
SPEAKER_00: That's also, I think, in life in general.
18:16
SPEAKER_00: Yeah.
18:17
SPEAKER_00: I mean, if we're not always growing and evolving no matter what, then who are we?
18:21
SPEAKER_03: There's no one right way to do a facelift.
18:24
SPEAKER_03: There's no question about it.
18:25
SPEAKER_03: And there's a lot of exciting new things that you don't need to do, these little fishnet things that everyone's doing.
18:31
SPEAKER_03: And you know what I'm talking about?
18:33
SPEAKER_03: The hemostatic net.
18:34
SPEAKER_03: These are exciting, they look sexy, but the problem is we're conflating them with the person who talks about it.
18:39
SPEAKER_03: And so we think that doing all of these crazy things, like hemostatic nets and and doing like laser at the time of a facelift and micro fat grafting over the face, just because we saw somebody else do it and they're they can command a high price, we think we can do the same thing.
18:55
SPEAKER_03: I think that's a huge trap.
18:57
SPEAKER_03: And I would warn every surgeon who's watching this video or listening to this podcast to really make sure that they are making decisions based on evidence, patient outcomes, and their own instincts instead of just following trends.
19:11
SPEAKER_00: I like that a lot.
19:12
SPEAKER_00: You know, and I think it's like I like to talk about it, not because I think pe and I think I have tons of friends who have never done anything and they're beautiful, and that's how they choose.
19:21
SPEAKER_00: But if there is a person who's like, I haven't talked about it until now, you know, or wants just to feel like in general, like more open and supportive, and like it is what it is.
19:29
SPEAKER_00: Like everyone has a choice.
19:30
SPEAKER_00: And I feel like that's why it's I'm you know, I talk about this in peptides a lot.
19:33
SPEAKER_00: And I thought, well, I used to press talk about that.
19:36
SPEAKER_00: I've had a deep lane facelift before, because it was like at the end of the day, like it's all just a personal choice.
19:42
SPEAKER_00: Like, and I don't think anyone should go around saying, Oh my god, I can't believe someone did this, or I can't believe someone did that.
19:47
SPEAKER_00: Like it is what it is, like it's all a personal decision.
19:50
SPEAKER_00: And I think as long as you feel good about yourself and confident and you want to live the way you want to live, more power to you.
19:56
SPEAKER_00: So I'm on that note, I'm gonna do this or that with you.
19:58
SPEAKER_03: You look great and you feel great.
20:00
SPEAKER_03: What more can you ask for?
20:01
SPEAKER_00: Thank you.
20:02
SPEAKER_00: Well, you know, it's not everyone's cup of tea, but if you like me for that, meaning you like me.
20:05
SPEAKER_00: Okay, let's do this.
20:06
SPEAKER_00: The first question is around this topic.
20:09
SPEAKER_00: So, deep plane facelift or SMAS facelift, which I don't know what that is.
20:15
SPEAKER_03: So it's a SMAS facelift.
20:17
SPEAKER_03: And I think a lot of people, um, especially over the past five years, um are really coming in saying, if you don't do a deep plane facelift, I'm not gonna do my my surgery with you.
20:29
SPEAKER_03: Because I I read online that you have to have a deep plane facelift.
20:34
SPEAKER_03: Now, a deep plane facelift is a SMAS facelift.
20:37
SPEAKER_03: Both operations are are pulling the SMAS.
20:40
SPEAKER_03: The SMAS, superficial musculo-aponeurotic system is what it stands for, is that thick fibrous stuff and muscles under your skin and fat.
20:50
SPEAKER_03: So it's skin, then fat, then like the muscle in your neck and your eye, it's like it's attached to this lattice work of leathery goodness.
20:59
SPEAKER_03: And surgeons in the 70s discovered that if you pull that instead of the skin, you're gonna have a better, more natural result.
21:07
SPEAKER_00: The wind blown look.
21:08
SPEAKER_03: Well, you're just gonna, you're not, you're not gonna have wide scars, you're not pulling your ears forward.
21:12
SPEAKER_03: It's just you're pulling the right structure, not just the skin.
21:15
SPEAKER_03: The skin is the weakest organ in the body.
21:18
SPEAKER_03: So the smash needs to be manipulated no matter what.
21:22
SPEAKER_03: Okay.
21:23
SPEAKER_03: Deep plane facelift is the best answer to answer this.
21:26
SPEAKER_03: So I'm not gonna do your 15-second Instagram reel.
21:29
SPEAKER_03: I don't care what the algorithm rewards.
21:30
SPEAKER_00: I didn't know.
21:31
SPEAKER_03: Because I'm gonna get into it.
21:32
SPEAKER_03: We want you to for two minutes.
21:35
SPEAKER_03: Sorry now.
21:35
SPEAKER_03: Um, the deep plane facelift is a smas facelift with the exception of getting under the SMAS and literally piecemeal releasing every ligament that is holding that SMAS down to your bone.
21:47
SPEAKER_03: So traditionally, you'd get the SMAS and you'd pull it tight.
21:50
SPEAKER_03: That's the right idea.
21:51
SPEAKER_03: But nobody was thinking to release the ligaments that hold it to your bone.
21:54
SPEAKER_03: And so you're pulling it, that's great, but you're pulling it with tension.
21:58
SPEAKER_03: Yeah.
21:58
SPEAKER_03: And that's why like the results really don't.
22:00
SPEAKER_03: Work that far forward.
22:01
SPEAKER_03: They weren't helping enough with the Marionette Lions and they were relenting.
22:05
SPEAKER_03: They weren't holding up for as long as say a deep plane facelift was.
22:09
SPEAKER_03: Here's the problem with a deep plane facelift.
22:12
SPEAKER_03: Everybody now says, no, not is doing it.
22:16
SPEAKER_03: I wish everyone was doing it.
22:17
SPEAKER_03: Everybody says they're doing it.
22:18
SPEAKER_01: Yeah.
22:19
SPEAKER_03: So when someone says I was awake for my deep plane facelift and it took two hours and 43 minutes, I'm like, okay.
22:25
SPEAKER_03: I don't even know why I was like, I've seen surgeons who I respect very, very deeply literally get into the OR and score the SMAS layer with a with a little pencil, and they stick their finger under it a little bit and they say, Oh, that's the deep plane.
22:39
SPEAKER_03: See?
22:39
SPEAKER_03: And I'm gonna pull under the deep plane.
22:40
SPEAKER_03: I'm like, that is not a deep plane facelift.
22:43
SPEAKER_03: You might be you might be getting your fingernail into the deep plane, but the deep plane is literally lifting the face under that entire elevated plane.
22:51
SPEAKER_03: It's not just getting to it, it's really releasing the ligaments.
22:54
SPEAKER_03: That's a very nuanced topic.
22:56
SPEAKER_03: I'm gonna jump off my sandbox, the soapbox.
22:59
SPEAKER_03: But let me tell you something.
23:00
SPEAKER_03: Deep plane facelift for the win.
23:02
SPEAKER_00: Okay.
23:03
SPEAKER_03: Ask your surgeon to document it.
23:05
SPEAKER_03: Yeah.
23:06
SPEAKER_03: Ask for an effing picture.
23:08
SPEAKER_03: That's smart.
23:08
SPEAKER_03: If it's gonna take two hours and 50 minutes, you're not getting a deep plane facelift.
23:12
SPEAKER_00: Okay, I have a question on that too.
23:13
SPEAKER_00: Like, my recovery was gnarly.
23:16
SPEAKER_03: You tell me about your breasts too.
23:18
SPEAKER_03: You talking about your breast or your face?
23:19
SPEAKER_00: And talking about my face.
23:19
SPEAKER_00: It was gnarly, but I was swollen for a long time.
23:22
SPEAKER_00: It was like when I see people online, and 10 days later, I'm like, I did not look like that 10 days later.
23:28
SPEAKER_03: Yeah, so that's another really interesting topic.
23:31
SPEAKER_03: And I did a YouTube video on this recently where people are now on my social media feed, my like Instagram feed or whatever.
23:39
SPEAKER_00: Lucky you have one.
23:40
SPEAKER_03: I well, I don't have it on my phone because it takes me away from my children.
23:44
SPEAKER_03: I notice that social media robs me of all the No, it's a good thing not to have it, trust me.
23:48
SPEAKER_03: But I have it at work.
23:48
SPEAKER_00: That's for business, but yeah.
23:50
SPEAKER_03: And and when I scroll through, all I'm getting are these like day three, look at me now.
23:54
SPEAKER_03: And like they're blinking with like well, kind of like one eye, but they look normal otherwise, you know, and I'm like, you look this normal, but your facial nerve is weak.
24:04
SPEAKER_03: Like, I'm sorry, I'm sorry for you.
24:05
SPEAKER_03: I want to see you in two years.
24:06
SPEAKER_03: I want to see you in one year.
24:08
SPEAKER_01: Yeah.
24:08
SPEAKER_03: And I want to compare that with a clinical photo, not a Photoshop picture that you took.
24:13
SPEAKER_03: I want to see it side by side.
24:14
SPEAKER_03: I mean, I promise you that the results are gonna be underwhelming.
24:18
SPEAKER_03: Yeah.
24:18
SPEAKER_03: To get these results, like we talked about before, you have to make that investment in swelling and recovery.
24:25
SPEAKER_03: And the time the surgeon has to make an investment in time.
24:27
SPEAKER_03: Oh, it was long and like what go to a surgeon who's doing one facelift a day.
24:32
SPEAKER_03: Yeah, none of this three facelifts a day nonsense.
24:35
SPEAKER_03: Not only, I mean, you could probably do it from a time perspective if you're switching ORs, going back and forth.
24:40
SPEAKER_03: We are tired.
24:41
SPEAKER_00: I don't want someone on me at the second facelift, the six hours.
24:44
SPEAKER_03: Like, I when I do a facelift, I start with the eyes.
24:47
SPEAKER_03: Yeah, I don't do it at the end because you gotta be like at the beginning and end of a facelift, you you become fatigued.
24:53
SPEAKER_03: Of course.
24:54
SPEAKER_03: And the eyes are something that deserves special attention.
24:57
SPEAKER_01: Yeah.
24:57
SPEAKER_03: And if you do that at the end, I feel like you're gonna rush through it.
25:00
SPEAKER_03: So for the same logic, don't ever go to a surgeon who's doing two in one day.
25:04
SPEAKER_03: I've done two in one day once in my life, my career, and I didn't feel great about it.
25:09
SPEAKER_03: I didn't feel great.
25:11
SPEAKER_03: Yeah.
25:12
SPEAKER_03: So that that's my thing.
25:13
SPEAKER_03: So deep plane face, but a real one, documented, okay, validated.
25:17
SPEAKER_03: Okay, that takes longer than five, six hours.
25:20
SPEAKER_00: Okay, I don't like this second question.
25:21
SPEAKER_00: My team did, so I'm gonna skip it.
25:23
SPEAKER_00: Umbic face or ozempic body?
25:28
SPEAKER_03: Ozempic face.
25:30
SPEAKER_03: Ozempic body requires significant contouring surgery, significant scars.
25:36
SPEAKER_03: Ozempic face is an opportunity to lift things up and do a facelift and some fat crafting.
25:41
SPEAKER_00: Oh, I see your thing.
25:42
SPEAKER_00: I would say neither.
25:42
SPEAKER_00: Like who wants an Ozempic face or an Osempic body?
25:44
SPEAKER_00: But you're saying if if the if the res not results, if the um my brain is over, what's the word I want to say?
25:51
SPEAKER_00: If the byproduct of losing all that weight creates an issue with your face, and you're really saying it's an opportunity because you can fill it with some fat transfer if you have any left and lift it.
26:00
SPEAKER_03: Is that what you're saying?
26:01
SPEAKER_03: GLDR.
26:02
SPEAKER_03: Ozempic face is a lot easier to treat than Ozempic face.
26:04
SPEAKER_03: Okay, perfect.
26:06
SPEAKER_00: I hate both of them.
26:06
SPEAKER_00: Moving on.
26:07
SPEAKER_03: Move on.
26:08
SPEAKER_00: Microneedling or laser resurfacing.
26:11
SPEAKER_03: I think both are actually valid options.
26:13
SPEAKER_03: Okay.
26:13
SPEAKER_03: Laser resurfacing gives better results for sure.
26:16
SPEAKER_03: Okay.
26:16
SPEAKER_03: In all people, except for people with darker skin types, which we can talk about later if you want to.
26:21
SPEAKER_03: Microneedling is a lot subtler, but it's also a lot less downtime, and you've got to do it a lot more.
26:28
SPEAKER_03: Laser resurfacing is kind of microneedling on steroids.
26:33
SPEAKER_03: Do you do both?
26:34
SPEAKER_03: Oh, we offer both for sure.
26:36
SPEAKER_03: Absolutely.
26:36
SPEAKER_03: And I and microneedling seems like a really weenie thing because aestheticians can do it.
26:40
SPEAKER_03: So, like, oh, it can't really be giving you results.
26:43
SPEAKER_03: It does, it just requires patience and multiple.
26:45
SPEAKER_00: It's on everyone's like five things, top five things the money's worth.
26:48
SPEAKER_00: Everyone's talking about it.
26:49
SPEAKER_00: All right.
26:49
SPEAKER_00: No, no, I'm just saying, like, I think it's having a moment.
26:52
SPEAKER_03: Okay.
26:52
SPEAKER_03: Do I have to do this or that?
26:53
SPEAKER_03: I gotta sneak peek at number four.
26:55
SPEAKER_03: I want to say both again.
26:56
SPEAKER_03: I'm gonna say both to all of them.
26:57
SPEAKER_00: No, that's not interesting.
26:58
SPEAKER_00: Sometimes you have to pick.
27:00
SPEAKER_00: You can pick with a caveat.
27:02
SPEAKER_00: Okay, it's my game.
27:02
SPEAKER_00: Fillers or fat transfer?
27:04
SPEAKER_03: Fat transfer.
27:04
SPEAKER_00: Thank you.
27:05
SPEAKER_00: Okay, good.
27:05
SPEAKER_00: I agree.
27:06
SPEAKER_00: Subtle, no one can tell results or dramatic transformation.
27:09
SPEAKER_03: The algorithm rewards traumatic dramatic transformations.
27:13
SPEAKER_00: Yes.
27:13
SPEAKER_03: Okay, it doesn't mean that they look good, especially if you're starting out as a pretty person.
27:18
SPEAKER_03: Yeah.
27:19
SPEAKER_03: You don't want a dramatic transformation.
27:20
SPEAKER_03: This is not the swan in 2007 where we're changing people's lives with veneers and stuff like that.
27:25
SPEAKER_00: Yeah, I agree.
27:26
SPEAKER_03: The only dramatic transformations I like are rhinoplasties and maybe breast dogs.
27:30
SPEAKER_00: Okay.
27:31
SPEAKER_03: Baselifts should be quiet.
27:32
SPEAKER_00: Okay.
27:33
SPEAKER_00: This is an interesting one.
27:34
SPEAKER_00: BBL or natural glutes.
27:35
SPEAKER_00: I don't know.
27:36
SPEAKER_00: Is there a middle?
27:37
SPEAKER_00: Do you have to do like can you do fat transfers just?
27:40
SPEAKER_03: What bot wrote these?
27:42
SPEAKER_03: What bot came up with this?
27:45
SPEAKER_00: Never know.
27:46
SPEAKER_00: Okay.
27:46
SPEAKER_00: I don't, okay.
27:47
SPEAKER_00: Fashion boobs, smaller athletic, which they're saying they're more in, unless you're in Dallas, they're not.
27:52
SPEAKER_00: Or classic augmentation volume.
27:55
SPEAKER_03: Okay.
27:55
SPEAKER_03: I think they call them ballerina boobs here because I've done them before.
27:58
SPEAKER_03: Oh, so and so loves their it's very California, I think.
28:01
SPEAKER_00: It's not as much.
28:02
SPEAKER_00: Yeah, I think.
28:02
SPEAKER_03: I'm kind of a classic augmentation volume guy.
28:04
SPEAKER_03: I'm I'm East Coast, so I'm a little bit more conservative.
28:07
SPEAKER_03: I don't like that huge look, but I think a good, you know, if you're gonna get a breast augmentation, you wanna, you wanna show that you've done it.
28:15
SPEAKER_01: Yeah.
28:15
SPEAKER_03: So this question really determines on your start.
28:18
SPEAKER_03: It's really founded on your starting point, of course.
28:20
SPEAKER_03: But I think in general, if you're gonna get a breast hog, you want to see a result.
28:23
SPEAKER_00: I think it's also trends a little bit, like, you know, you you like anything, they kind of go in and out.
28:28
SPEAKER_00: And I think it's kind of right now in the middle.
28:31
SPEAKER_00: I think it really went to like the ballerina boom and everything, and then I think all of a sudden it's shifting back a little bit more of like, let's add some curve, let's add something to it.
28:38
SPEAKER_00: If you're gonna go do it, like you want at least less.
28:43
SPEAKER_03: 100%.
28:44
SPEAKER_00: What are you on top of that?
28:45
SPEAKER_03: Not really.
28:46
SPEAKER_00: Okay, moving on.
28:47
SPEAKER_00: It wasn't a this or that question.
28:49
SPEAKER_00: Oh my god, you're a tough one today.
28:51
SPEAKER_00: Okay, preventative Botox in your 20s, or wait till you actually need it.
28:54
SPEAKER_03: Preventative Botox in your 20s.
28:56
SPEAKER_03: Okay I I was doing Botox in residency when I first started getting endless access to it, and I looked really good.
29:01
SPEAKER_03: Like I have a twin brother.
29:03
SPEAKER_03: The viewers and listeners may not know that.
29:06
SPEAKER_03: Identical?
29:06
SPEAKER_03: I do.
29:07
SPEAKER_03: No fraternal, but we look very similar.
29:09
SPEAKER_03: And he never did Botox at that point in my life, and I did.
29:13
SPEAKER_03: And I was doing Retin A2 preventatively, and I always look 10 years younger than him until now.
29:18
SPEAKER_03: I've just stopped doing Botox.
29:20
SPEAKER_03: You're just stressed.
29:21
SPEAKER_03: I just stopped doing Botox.
29:23
SPEAKER_00: It's it's so accessible to me that it's like I also think on men, it's like a very to me, like I like a man to age.
29:31
SPEAKER_00: So if they are gonna do Botox, like it's just softening something.
29:34
SPEAKER_00: I don't want anything frozen on someone's face.
29:37
SPEAKER_00: Like, I like when I see a man that you can tell they had a facelift or have like eyebrow lift, or like, or their it's their skin is too resurfaced.
29:43
SPEAKER_00: Like, men are supposed to be kind of rugged.
29:45
SPEAKER_00: Like, men are supposed, I don't know, that's how I feel.
29:47
SPEAKER_00: Like, like a too pretty man is I don't know.
29:51
SPEAKER_03: I mean sounds like that's a PT141 topic.
29:54
SPEAKER_00: Yeah, we'll get into that later.
29:55
SPEAKER_00: Okay, buckle fat removal or fillers for cheek contour.
30:00
SPEAKER_03: Different things.
30:01
SPEAKER_03: Buckle fat removal gives you concavity, cheek contour gives you convexity.
30:04
SPEAKER_00: I heard you never should do buckle fat.
30:06
SPEAKER_03: I disagree entirely.
30:07
SPEAKER_00: Oh, you think you should?
30:08
SPEAKER_00: Oh, this is gonna be a hot topic.
30:09
SPEAKER_03: I had buckle fat pad removal.
30:10
SPEAKER_03: You can't you can not tell the world that you had a facelift, but I'll tell the world right now that I had buckle fat pad removal when I was 44 years old.
30:16
SPEAKER_03: Oh and I love it.
30:18
SPEAKER_00: Were you chipmunked before?
30:20
SPEAKER_03: No, but like when I talked, you'd see it kind of hanging out and it kind of gave me the roundness when I, you know, in certain angles.
30:26
SPEAKER_03: I didn't like it.
30:27
SPEAKER_03: I think what what buckle fat removal has done is just give me a little bit more contour and sculpture to my face.
30:32
SPEAKER_00: Oh, men are gonna appreciate your honesty, I think.
30:34
SPEAKER_03: Easy to hate buckle fat because all of the social media world does, because two or three celebrities who decided to become anorexic and gaunt are accused of having had buckle fat pad removal.
30:45
SPEAKER_03: And so the entire operation gets tangled in this web of misunderstanding.
30:50
SPEAKER_03: But it's part of my core facelift that I offer in most patients, and as a standalone procedure, it's wonderful, especially across certain ethnicities, Chinese faces, Korean faces that are what we call hypodivergent and they sort of lack features.
31:04
SPEAKER_03: When you create a little hollow there, it tends to make people more attractive.
31:07
SPEAKER_03: Oh and you know, oh, you're gonna regret it when you're older.
31:10
SPEAKER_03: Oh, okay.
31:11
SPEAKER_03: My average buckle fat patient is young, I'll tell you that.
31:15
SPEAKER_03: But I've also the biggest buckle fat pads I've ever removed were on a 70-year-old African-American man.
31:21
SPEAKER_03: Oh, and just think of like rest in peace, uh, Ruth Bader Ginsburg.
31:26
SPEAKER_03: She had these huge buckle fat pads hanging down.
31:28
SPEAKER_01: Yeah.
31:28
SPEAKER_03: So you're gonna regret it when you're old, I guess.
31:31
SPEAKER_03: Or not?
31:32
SPEAKER_03: Maybe, but like I don't think that they do anything except weigh your jowls down as you age.
31:36
SPEAKER_00: Is that more common you're finding in men coming in to do it versus women?
31:40
SPEAKER_03: I would say 50-50.
31:42
SPEAKER_03: 50-50.
31:43
SPEAKER_03: That one's that one's right down the way.
31:44
SPEAKER_00: I love that.
31:45
SPEAKER_00: That's gonna like let's we might break the internet.
31:47
SPEAKER_00: We might break the internet on that one.
31:48
SPEAKER_03: It's gonna break the internet.
31:49
SPEAKER_03: I mean, my I used to do three of those cases a week, and now I do maybe one a month.
31:54
SPEAKER_00: It's the power of like a social media is saying a false narrative.
31:59
SPEAKER_03: It's the power of AI listening to that social media community and turning speculation into fact.
32:07
SPEAKER_00: Yeah, I like that.
32:08
SPEAKER_00: Wow.
32:08
SPEAKER_03: But a lot of people still come to me for it, not nearly as many as in 2022, but a lot of people still come for it.
32:14
SPEAKER_03: And I mean, I can think of maybe a handful of patients who didn't think they got enough of a result or felt like it was too much, but that's of the hundreds that I've done.
32:24
SPEAKER_00: Wow.
32:26
SPEAKER_00: I learned something very new.
32:27
SPEAKER_00: Okay, mini facelift, lunchtime lift, I'm not sure what that is, or full facelift.
32:31
SPEAKER_00: Full face lift.
32:31
SPEAKER_00: We already discussed that.
32:32
SPEAKER_00: Um, rhinoplasty, surgical or non-surgical, like the liquid nose job.
32:37
SPEAKER_00: What is that?
32:38
SPEAKER_03: So surgical versus non-surgical rhinoplasty is a great, is a great conundrum.
32:43
SPEAKER_03: Like obviously, if we can avoid surgery, especially in the nose, that would be a wonderful thing.
32:46
SPEAKER_03: It's a lot less expensive.
32:47
SPEAKER_03: But remember, when you're doing a liquid nose job, I hate calling the nose job, rhinoplasty, you are augmenting or increasing the size of your nose.
32:57
SPEAKER_03: So that operation has a role in like the Asian nose that's you know, flatter, maybe less defined, less sidewall, and you're you know, constantly putting contour on.
33:07
SPEAKER_03: I do think a bead of filler there, yeah, and so-called non-surgical nose job is definitely advantageous.
33:14
SPEAKER_03: You know, I've done it on Asian women and they're like, oh, I've got that K-pop look now, you know, and you're like, okay, cool, that's great.
33:19
SPEAKER_03: Took me 10 minutes and a vial of you know, of filler, it's great.
33:23
SPEAKER_03: And then you get the Middle Eastern patients or the Jewish patients who have a big hump in their nose and they want to mask that.
33:29
SPEAKER_03: And it looks really good when you zoom in on the nose and all of a sudden the bump's gone because you filled up a bump in in front of the speed bump and behind the speed bump.
33:36
SPEAKER_00: That's like so much better than getting having to get a rhinoplastic.
33:38
SPEAKER_03: But then when you zoom out, you've got a huge sail on your face.
33:42
SPEAKER_03: So you've got to look at the harmony.
33:43
SPEAKER_03: You can change a micro feature with filler and hide a bump, but you're making a big nose bigger.
33:50
SPEAKER_03: So you're throwing off facial harmony.
33:52
SPEAKER_03: So I think in augmentation in the right patient, filler is a great solution.
33:58
SPEAKER_03: But if you're looking to refine, reduce, remodel a nose, you gotta go with a knife.
34:06
SPEAKER_00: Okay.
34:07
SPEAKER_00: Well delivered, Doctor.
34:09
SPEAKER_03: I practiced that one.
34:10
SPEAKER_03: That was a good one.
34:12
SPEAKER_03: I'm reading the teleprompter.
34:13
SPEAKER_00: Okay, GLP first, then body contouring or contouring without the drugs.
34:18
SPEAKER_03: That's actually a good question.
34:19
SPEAKER_03: It's not a good question.
34:20
SPEAKER_03: I actually like that question.
34:21
SPEAKER_03: It's a loaded question.
34:22
SPEAKER_00: I like the question.
34:23
SPEAKER_00: Objection form.
34:24
SPEAKER_03: You're like putting words in my mouth.
34:26
SPEAKER_03: How about this?
34:27
SPEAKER_03: Let's rephrase it to weight loss first, then body contouring.
34:30
SPEAKER_03: Fine.
34:32
SPEAKER_03: Or contouring without weight loss.
34:35
SPEAKER_03: And the answer is without a doubt, weight loss first and then body contouring.
34:40
SPEAKER_03: Otherwise, you're squeezing a pillowcase really tight.
34:42
SPEAKER_03: Okay.
34:44
SPEAKER_00: All right, then I'm gonna jump in though.
34:45
SPEAKER_00: And if I then I'd say, why don't you because it'll help use the floor?
34:49
SPEAKER_03: Asterisk, asterisk.
34:50
SPEAKER_03: Assuming your weight is stable after losing that weight.
34:54
SPEAKER_03: Now you can go.
34:55
SPEAKER_03: Sorry.
34:55
SPEAKER_03: Uh okay.
34:56
unknown: Go.
34:58
SPEAKER_00: No, I'm just gonna say I can add that caveat too.
35:01
SPEAKER_00: So then you use the GLP to help you lose the weight because sometimes it takes longer for some people to lose weight, right?
35:06
SPEAKER_00: They don't want to go and start like doing all the things, but they can lose them a little bit easier, and then once they stabilize it, then they can come in.
35:13
SPEAKER_00: So it's a tool for losing weight, and then you contour after.
35:18
SPEAKER_00: Yes.
35:19
SPEAKER_03: Regardless, take the stuffing out of the pillowcase and then tighten the pillowcase.
35:26
SPEAKER_03: Don't tighten the pillowcase over a stuffed pillow because it's just gonna stretch and disappoint with ugly wide scars and an unhappy result.
35:38
SPEAKER_00: I like that.
35:38
SPEAKER_00: All right, skin quality, facial spills, red light, or one big procedure.
35:44
SPEAKER_00: I know it's a bad one.
35:47
SPEAKER_03: Let's interpret this one.
35:49
SPEAKER_03: Let's try to let's see what let's see what Claude was thinking when he came up with this prompt.
35:54
SPEAKER_03: Skin quality, facial spills, red light, or one big procedure.
35:58
SPEAKER_03: Okay, so they're saying Maintenance, basically.
36:01
SPEAKER_03: Maintenance versus surgery?
36:05
SPEAKER_03: Maintenance versus maintenance.
36:06
SPEAKER_00: Um, I want to rephrase it though.
36:08
SPEAKER_00: I'd say, okay, are you do you think someone should spend a ton of money on facials, like throwing kind of facials and lasers and stuff, or saying, like, hey, maybe I should get a bigger procedure done and then I can do less of that?
36:23
SPEAKER_03: You're gonna hate me.
36:24
SPEAKER_03: I'm gonna say both.
36:25
SPEAKER_03: Oh.
36:26
SPEAKER_03: Because the first thing, skin quality, is separate from the big procedural thing.
36:31
SPEAKER_00: Yeah, true.
36:32
SPEAKER_03: You kind of need both.
36:33
SPEAKER_03: I agree.
36:33
SPEAKER_03: No, I'll be able to.
36:33
SPEAKER_03: Look at this beautiful home.
36:34
SPEAKER_03: Can you imagine remodeling what was originally built here in 1990?
36:38
unknown: Yeah.
36:39
SPEAKER_03: And then and then like leaving the original paint on the outside.
36:43
SPEAKER_01: Yeah.
36:43
SPEAKER_03: Leaving the original wallpaper up.
36:45
SPEAKER_03: You know what I'm saying?
36:46
SPEAKER_03: You gotta do both.
36:48
SPEAKER_03: I work so hard on my skin.
36:49
SPEAKER_03: Well, exactly.
36:50
SPEAKER_03: That's why you glow.
36:51
SPEAKER_03: So no matter what so-and-so did to your face back in 2023 or whenever it was, your result would not be what it is if you didn't invest the time, energy, and resources on optimizing your skin, which is glowing right now.
37:06
SPEAKER_03: If you weren't 51, I would say, Are you pregnant?
37:08
SPEAKER_03: I would ask you.
37:08
SPEAKER_03: Because you're glowing.
37:09
SPEAKER_00: It's called G H K C U and my serum.
37:12
SPEAKER_00: Well, I'm gonna give you my serum.
37:13
SPEAKER_00: I've been giving you my serum.
37:14
SPEAKER_03: I know, I've I've been a little I've been glowing too before.
37:16
SPEAKER_00: When I go upstairs, I'm gonna give you my serum.
37:18
SPEAKER_00: Okay.
37:18
SPEAKER_00: Um this one we already talked about male Botox, and this is it, or all natural aging for men.
37:24
SPEAKER_03: I like how it says male Botox.
37:26
SPEAKER_03: It disables natural aging for men.
37:31
SPEAKER_00: I mean that's so bad.
37:33
SPEAKER_03: I like Botox for men.
37:35
SPEAKER_03: Okay.
37:36
SPEAKER_03: I think it could be done artistically and make you feel better.
37:41
SPEAKER_03: Um, I get a little self-conscious about my wash washboard abs on my forehead.
37:45
SPEAKER_03: Um, I don't love how deep and strong they are.
37:47
SPEAKER_03: My daughters comment that it all the time.
37:49
SPEAKER_03: I'm I'm I'm self-conscious, I'm aware.
37:51
SPEAKER_03: Crow's feet, I think we can we can preserve in men.
37:54
SPEAKER_03: You know, I think overdoing the crow's feet gives you that sort of surprised, full look that's more attractive on a younger woman than maybe a 50-year-old man.
38:02
SPEAKER_00: Don't you love how like your kids, God forbid, you're feeling good one day and they just whip it at you?
38:07
SPEAKER_03: You should see the way they treat my mother, God bless her.
38:10
SPEAKER_03: I mean, when they touch her arm and tell her how soft and jiggly it is, I just feel so bad for her because these kids are just so innocent.
38:18
SPEAKER_03: They don't know what they're doing, they're just they're just enjoying tact.
38:22
SPEAKER_00: But they're honest, their kids are honest, and someone's like, Oh, I was not ready to hear that.
38:26
SPEAKER_00: My kids tell me stuff, I'm like, oh my god, please stop.
38:29
SPEAKER_03: Is it about time that I flipped the script a little bit and just start attacking you and you can pick putting it?
38:34
SPEAKER_00: You can just jump through that.
38:35
SPEAKER_00: You don't have to go through my bad question.
38:37
SPEAKER_03: You can figure out I wish they were your bad questions because they wouldn't be bad questions if they were yours.
38:41
SPEAKER_00: You're right.
38:42
SPEAKER_00: I had a lot going on.
38:43
SPEAKER_03: All right.
38:44
SPEAKER_03: BPC157 or TB500 for recovery.
38:49
SPEAKER_03: You can't say both.
38:50
SPEAKER_00: No, I was just gonna say, like, I'm gonna pull a Zalkin is organize.
38:53
SPEAKER_03: Oh my god.
38:55
SPEAKER_00: Both.
38:55
SPEAKER_03: I mean You can't do that.
38:56
SPEAKER_03: That's boring.
38:57
SPEAKER_03: It's bad as well.
38:58
SPEAKER_00: It's called the Wolverine, and they actually work way better together.
39:01
SPEAKER_00: But if I had to pick one, I'd pick BBC.
39:03
SPEAKER_00: But I like them together if you're injured.
39:05
SPEAKER_03: All right.
39:05
SPEAKER_03: So they're synergistic.
39:07
SPEAKER_00: They're synergistic.
39:08
SPEAKER_03: The Wolverine.
39:08
SPEAKER_00: It's called the Wolverine.
39:10
SPEAKER_00: It's very all over the internet.
39:12
SPEAKER_00: I did not name it.
39:14
SPEAKER_03: Number two, CJC1295 slash Ipamoralin stack or straight up HGH.
39:20
SPEAKER_00: Tooth folds.
39:21
SPEAKER_00: If you want it, like as a female non, as a female, and I'm not a bodybuilder and I'm not a bikini person, whatever, CJC Ipamorlin all day long, or I sometimes just like Ipamorlin on its own.
39:34
SPEAKER_00: A lot of men who are trying to build muscle and really want that will go and say, you're way better off going with straight growth hormone.
39:45
SPEAKER_00: I personally um have never tried it.
39:48
SPEAKER_00: I'm a little scared of it, and I would rather go with a peptide that helps you release your own natural growth hormone.
39:55
SPEAKER_03: Like that.
39:55
SPEAKER_03: GHKCU for skin or collagen supplements.
40:00
SPEAKER_00: Oh my god, GHKCU all day long.
40:02
SPEAKER_03: I'm not the expert in this, and I can tell you that collagen supplements go in just as fast as they go out.
40:08
SPEAKER_03: Yeah.
40:08
SPEAKER_03: Just like when you eat the roughage of a piece of celery.
40:11
SPEAKER_03: There's your collagen.
40:12
SPEAKER_03: There's my collagen again.
40:14
SPEAKER_03: Yeah, you don't build collagen by eating it.
40:17
SPEAKER_03: No.
40:17
SPEAKER_03: News flash.
40:18
SPEAKER_03: Semaglutide or trzepatide.
40:20
SPEAKER_03: That's a good one.
40:21
SPEAKER_03: I'm I'm kind of curious about this myself.
40:23
SPEAKER_00: I honestly don't work with semaglutide at all, only trzepatide.
40:27
SPEAKER_03: Okay.
40:28
SPEAKER_00: And for the reason is just that it's it's so much easier on the system.
40:32
SPEAKER_00: It's I like that it works also a lot more with insulin resistance and the brain.
40:37
SPEAKER_00: It's softer.
40:38
SPEAKER_00: You can um really use a microdose of it and get a lot of other benefits from it, where a semaglutide, you just get whacked.
40:45
SPEAKER_00: I mean, it's hard.
40:46
SPEAKER_00: It's cheaper, better than that.
40:48
SPEAKER_03: You might hear that some of these weight loss medications are either justifying or even glorifying a form of anorexia.
40:55
SPEAKER_03: What are your thoughts on that?
40:59
SPEAKER_00: It's a slippery slope.
41:01
SPEAKER_00: And I think a lot of conversation has to be had about it.
41:03
SPEAKER_00: In my coaching, we I talk a lot about the slippery slope of like when you get into a place where you're gonna get yourself really metabolically unsound.
41:12
SPEAKER_00: And it's why I get terrified that all these sorority girls and stuff are using them because they don't understand the impact it can have forever, you know, and they're a great tool at the right time of your life for the right reasons.
41:24
SPEAKER_00: But if you have any form of an eating disorder, like if you're using under doctor care or coach's care to help with food noise, right?
41:33
SPEAKER_00: So to help with a piece of it, but if you're just using it to say, oh, I can like, you know, be crazy skinny, it's it's horrible.
41:41
SPEAKER_03: Okay.
41:42
SPEAKER_03: Well, thanks for calling it.
41:43
SPEAKER_00: I get emotional about it because I think it's scary.
41:45
SPEAKER_03: Peptides for sleep or peptides for libido?
41:49
SPEAKER_03: Also known as libido.
41:50
SPEAKER_00: So I have to pick one.
41:51
SPEAKER_03: Yeah, you do.
41:52
SPEAKER_03: You can't say both.
41:53
SPEAKER_00: Who wrote those dumb ones?
41:54
SPEAKER_03: Um, a guy named Jean-Claude.
41:57
SPEAKER_03: Peptides for sleep.
41:59
SPEAKER_03: What are the peptides for sleep, first of all?
42:00
SPEAKER_03: Let's break it down.
42:01
SPEAKER_03: So there's a couple that really helps.
42:02
SPEAKER_00: So epimorlin really helps with your sleep.
42:04
SPEAKER_00: It's a natural, uh, it helps you, we just talked about it, um, to create your own natural growth hormone, which actually helps you recover and helps you sleep.
42:12
SPEAKER_00: Um epithalin or epitalin, however you wanted to pronounce it, is supposed to help you sleep very well.
42:18
SPEAKER_00: It extends your telomeres.
42:20
SPEAKER_00: It's supposed to extend your life.
42:22
SPEAKER_00: Now, the hard thing about that one is I don't feel it.
42:24
SPEAKER_00: I guess you sleep well.
42:26
SPEAKER_00: And then DSIP, um, deep sleep-induced peptide.
42:31
SPEAKER_00: People swear by it to get into deep sleep, but they really like it.
42:34
SPEAKER_00: Me personally, I'm groggy.
42:35
SPEAKER_00: I wish I liked it because I'm not the best sleeper.
42:38
SPEAKER_00: But um so I might just pick the libido one.
42:42
SPEAKER_03: Sounds way, that sounds way more fun.
42:45
SPEAKER_03: And it sounds like it's mutually exclusive from getting sleep.
42:49
SPEAKER_03: So yeah, I would say peptides for the video too.
42:51
SPEAKER_01: Yeah.
42:52
SPEAKER_03: Um I thought I need them.
42:55
SPEAKER_03: NAD injections or NAD orally.
42:58
SPEAKER_03: NAD plus.
42:59
SPEAKER_00: And injection all day long.
43:01
SPEAKER_00: Or at least the same thing as your collagen.
43:03
unknown: Okay.
43:04
SPEAKER_00: Same answer.
43:07
SPEAKER_03: Epithalin for longevity or thymus and alpha one for immunity.
43:11
SPEAKER_00: Thymusin alpha one all day long.
43:13
SPEAKER_00: I use that one on a regular basis.
43:15
SPEAKER_00: And I use it with a lot of my clients who have autoimmune disease, and then I use it for myself or a lot of people who travel a lot, and it's like I take it almost like I would a multivitamin.
43:23
SPEAKER_00: I mean, I cycle it, but I'm on it for three months, I get off for a month, I go right back on it.
43:28
SPEAKER_03: And so you go on a you go on an airplane ride, you don't come back with that annoying cold that you always get.
43:32
SPEAKER_00: Or the second you feel like you're getting sick, you just take the 10-day stronger dose and you're better in two days.
43:39
SPEAKER_03: Wow.
43:39
SPEAKER_00: Yeah.
43:40
SPEAKER_03: Hormone replacement therapy or peptide therapy first.
43:43
SPEAKER_03: HRT first.
43:44
SPEAKER_03: Okay, and then peptide to supplement.
43:46
SPEAKER_00: Yeah.
43:47
SPEAKER_03: I like that.
43:48
SPEAKER_00: HRT is I always say is like the machine gun.
43:51
SPEAKER_00: Like you know, we're these are BB guns or the peptides.
43:54
SPEAKER_00: You gotta get your HRT under control.
43:55
SPEAKER_03: I don't like how number nine is worded, but I'm gonna I'm gonna rephrase, I'm gonna, I'm gonna ask you, and we're gonna.
44:00
SPEAKER_03: Interpret the question and then we're gonna answer it.
44:02
SPEAKER_03: PT 141 or just wait it out for libido.
44:07
SPEAKER_03: Also known as libido.
44:09
SPEAKER_00: I don't know waiting out what that means.
44:11
SPEAKER_03: I think either.
44:11
SPEAKER_03: What do you wait out?
44:12
unknown: I don't know.
44:13
SPEAKER_03: You're because it's not gonna, it's not gonna come any sooner if you just wait.
44:17
SPEAKER_00: I think PT, if if more people took PT 141, I think more people would stay married.
44:21
SPEAKER_00: And that may be a very controversial, like just wait it out like I don't know what that means somewhere.
44:27
SPEAKER_03: What is waiting it out?
44:28
SPEAKER_03: What are you waiting out?
44:29
SPEAKER_00: Maybe hoping one day that like your libido starts working.
44:32
SPEAKER_03: Does it work that way?
44:33
SPEAKER_03: It goes the other way.
44:34
SPEAKER_00: No.
44:35
SPEAKER_00: So I think it's great because there's nothing for women and it works very well for men and women, and that's why I'm such a fan of it.
44:41
SPEAKER_00: The only thing, Doctor, and I top with this, is that you can get nauseous on it.
44:45
SPEAKER_00: And like sexy time and nauseousness don't go hand in hand.
44:48
SPEAKER_00: So I tell people like start low and slow, and like I take it like after lunch.
44:53
SPEAKER_00: You know, I don't take it like before dinner.
44:56
SPEAKER_00: Then you don't want to eat.
44:57
SPEAKER_00: I get nauseous on it, so I have to like very much like but it's I find this one very my boyfriend, like really it works very well.
45:05
SPEAKER_00: Like he likes me.
45:07
SPEAKER_03: I know I'm just a this is a PG podcast, okay?
45:11
SPEAKER_00: No, I'm not I'm what I'm saying about is like if you if there's all different things you can try take, a lot of men, you know, will take a lot of different things.
45:18
SPEAKER_00: I don't know, maybe you don't need any help, but I'm just saying this is a nice natural way to get help versus always having to take a Viagra or whatever else you guys take.
45:25
SPEAKER_00: I have no idea, it's not my wheelhouse.
45:26
SPEAKER_00: I'm just saying I have a company that happens to sell it, so I'm going to talk about it and tell you how good it is for men.
45:32
SPEAKER_00: I don't need to use my boyfriend for as an example.
45:34
SPEAKER_03: Viagra works as long as you, you know, if you have the motivation.
45:39
SPEAKER_00: Okay.
45:40
SPEAKER_03: Okay.
45:41
SPEAKER_03: Fix cortisol or growth hormone first.
45:46
SPEAKER_00: Fix cortisol.
45:48
SPEAKER_03: I didn't write that.
45:49
SPEAKER_03: So let's just make this very clear.
45:51
SPEAKER_03: I didn't write these questions, okay?
45:53
SPEAKER_03: So so look, we have a cortisol imbalance, okay?
45:56
SPEAKER_03: I have a cortisol imbalance.
45:57
SPEAKER_03: I'm incredibly chronically stressed.
46:00
SPEAKER_03: Do I fix that first or do I just jump to growth hormone?
46:04
SPEAKER_03: Do I take ostragon?
46:06
SPEAKER_00: I would fix your I would actually have you work on your central nervous system.
46:10
SPEAKER_00: I'd give you some tools to help your cortisol.
46:12
SPEAKER_00: I think you're better off trying to figure out figure out how to regulate your stress because your stress is gonna kill you one day.
46:18
SPEAKER_00: So I think it's figuring that out.
46:20
SPEAKER_00: I don't know why you'd even like put the growth hormone piece into it.
46:23
SPEAKER_03: I didn't put the growth hormone.
46:25
SPEAKER_00: I know, Claude did.
46:26
SPEAKER_00: Okay, moving on.
46:27
SPEAKER_03: Jean-Claude Van Dam.
46:30
SPEAKER_03: Injectable peptides or oral slash nasal peptides.
46:34
SPEAKER_03: Again, an annoying question because oral and nasal are different routes of uptake.
46:38
SPEAKER_03: But injectable versus non-injectable peptides.
46:42
SPEAKER_00: Hands down injectable with a caveat.
46:45
SPEAKER_00: There are a couple that orally, like if you really truly have gut issues, I would say you take PPC orally versus injectable.
46:51
SPEAKER_00: But I I, you know, I prefer injection, it's more bioavailable for almost everything.
46:58
SPEAKER_03: So for those of us who don't understand words like bioavailability, do you want to just tell us what that means?
47:02
SPEAKER_00: Your body's able to utilize it better.
47:04
SPEAKER_03: Okay.
47:05
SPEAKER_00: Without being a doctor, how would you say it in a doctor's way?
47:08
SPEAKER_03: That's what I would say it.
47:09
SPEAKER_00: Oh, yay.
47:10
SPEAKER_03: Yeah, you're doing really well.
47:11
SPEAKER_00: Thank you.
47:11
SPEAKER_03: Chase muscle mass or fat loss in your 40s.
47:16
SPEAKER_00: Chase, sorry, chase muscle.
47:18
SPEAKER_03: Chase muscle mass.
47:19
SPEAKER_03: So muscle gains.
47:20
SPEAKER_03: Yeah, I'm a little strong.
47:22
SPEAKER_03: Do I lift more weights or do I lose weight?
47:24
SPEAKER_00: A hundred percent.
47:25
SPEAKER_00: You will lose fat if you put on muscle.
47:27
SPEAKER_00: Like you're by building muscle and muscles more metabolically sound, you will eventually lose more fat if you have more muscle on you.
47:35
SPEAKER_03: What if you're just uh, you know, an endomorph like me, and I just have muscle and fat.
47:40
SPEAKER_03: I'm just a big stocky guy.
47:41
SPEAKER_03: How do I do that?
47:42
SPEAKER_03: Because I did do Ozempic in 2022.
47:45
SPEAKER_03: Famously.
47:45
SPEAKER_00: I heard it didn't work out for you.
47:46
SPEAKER_03: It was disgusting.
47:48
SPEAKER_00: No, you let me coach you and I'll get it.
47:51
SPEAKER_03: It was before we got sophisticated as a society about it.
47:56
SPEAKER_03: My friend was like, You gotta take this diabetes drug.
47:58
SPEAKER_03: It's really good for weight loss.
48:00
SPEAKER_03: You know, you have a family history of heart disease, yeah, yeah, I lost all my weight, especially my muscle.
48:06
SPEAKER_03: Yeah.
48:06
SPEAKER_03: So now I've gained it all back, including my muscle, which is great, but I wouldn't mind being more cut.
48:11
SPEAKER_03: So I want it, I want you to really get to this.
48:14
SPEAKER_00: Can I tell you what stack I put you on right now?
48:15
SPEAKER_03: You'd put me on, yeah, I know you're gonna say.
48:17
SPEAKER_00: I would put you on reditrutide and tesomorlin together.
48:21
SPEAKER_00: And you know why?
48:22
SPEAKER_00: Because redotrutide allows you to maintain your muscle mass while you're getting leaner and while you're burning fat.
48:28
SPEAKER_00: And then when you do the trisepatide and I mean, sorry, when you do the test of morlin, it's gonna help you with your growth hormone.
48:34
SPEAKER_00: It will help you put on muscle.
48:36
SPEAKER_00: Men who do that combination are epic.
48:39
SPEAKER_00: Can I put you on it?
48:40
SPEAKER_00: And then have you come back and we can like look at you before and after.
48:43
SPEAKER_00: But can I do a caveat?
48:44
SPEAKER_00: That's not good for women.
48:45
SPEAKER_00: I'd never ever put a middle-aged woman on Tesla Morlin.
48:50
SPEAKER_00: Um, I have to go look and see what I have upstairs.
48:52
SPEAKER_00: If not, I'll send it to you.
48:53
SPEAKER_00: I'm gonna send it to you as a thank you.
48:54
SPEAKER_02: You always say that.
48:55
SPEAKER_00: I well, I'm going to send it to you as a thank you.
48:57
SPEAKER_02: I want to try it.
48:58
SPEAKER_02: You sweat to use it.
48:58
SPEAKER_02: Off the record.
48:59
SPEAKER_00: Okay.
49:00
SPEAKER_00: I'll trade you a laser for Patrick.
49:02
SPEAKER_03: I don't like being so chubby.
49:04
SPEAKER_00: I will get you, I'll get you snatched.
49:05
SPEAKER_03: You're supposed to say You're not chubby.
49:08
SPEAKER_00: It's your white, it's your white, it's your white outfit.
49:13
SPEAKER_03: Number 13, lucky number 13.
49:15
SPEAKER_03: Biological age testing.
49:17
SPEAKER_03: Or just go by can we just scrap?
49:20
SPEAKER_03: It's an unlucky number.
49:21
SPEAKER_03: It's a stupid question.
49:22
SPEAKER_00: Okay, move on.
49:23
SPEAKER_03: Next question.
49:24
SPEAKER_03: Compounded peptides or FDA approved only, which are compounded too, I guess.
49:29
SPEAKER_00: They're both compounded.
49:30
SPEAKER_00: But um, it should be word, it should be worded.
49:32
SPEAKER_03: FDA approved only peptides or all peptides.
49:36
SPEAKER_00: I mean, it's a I don't I don't like that question either, but I'll say unfortunately, the majority of the really good peptides live in the world of not being FDA approved.
49:44
SPEAKER_02: However, what does that mean?
49:45
SPEAKER_00: What do you mean?
49:46
SPEAKER_00: That the FDA is.
49:47
SPEAKER_02: What does not FDA approved mean?
49:48
SPEAKER_00: That means that the FDA has not gone in and said that they're safe for human usage.
49:53
SPEAKER_00: There's not enough tracks.
50:00
SPEAKER_00: That's a really good question.
50:02
SPEAKER_00: And I talk with this a lot because people will say to me, like, how do you like really know?
50:07
SPEAKER_00: And like at the end of the day, like if I gave you a COA, right?
50:11
SPEAKER_00: A certificate of authentic authenticity, like you would know what to really read it.
50:15
SPEAKER_00: Someone could document, someone could just change the whole thing.
50:17
SPEAKER_00: You don't really know.
50:18
SPEAKER_00: So, like, I also don't want to make somebody feel like there's a false sense of security by having this.
50:23
SPEAKER_00: It's the same thing as a supplement, it's the same thing really as anything out there.
50:27
SPEAKER_00: Like, you need to somehow trust the source.
50:30
SPEAKER_00: And I don't know if it means I'd say go down a rabbit hole, figure out where they're getting their peptides from.
50:34
SPEAKER_00: The manufacturer, do they third-party test them again?
50:37
SPEAKER_02: Like free range peptides.
50:39
SPEAKER_00: No, a third what?
50:40
SPEAKER_02: Free range peptides or organic peptides?
50:43
SPEAKER_00: There's no organic peptides.
50:44
SPEAKER_00: But I think the most part is like, I'll say for our company, we test them again personally.
50:48
SPEAKER_00: So we don't just we don't just say, oh, you don't take someone's word for it.
50:52
SPEAKER_00: Right.
50:52
SPEAKER_03: You guys trial it yourself.
50:54
SPEAKER_03: Yes.
50:54
SPEAKER_03: Before you guys.
50:55
SPEAKER_00: Yeah.
50:55
SPEAKER_03: Okay.
50:56
SPEAKER_03: Menopause hot flashes.
50:57
SPEAKER_03: Are they treatable with peptides or hormone replacement?
51:00
SPEAKER_03: Or both?
51:01
SPEAKER_00: Hormone.
51:01
SPEAKER_00: Well, also.
51:02
SPEAKER_03: No, not both.
51:03
SPEAKER_00: Well, I'm gonna say hormone replacement therapy for sure, but I do feel like when you get your insulin resistance under control, it does help with night sweats.
51:10
SPEAKER_00: So but your HRT all day long.
51:13
SPEAKER_00: I'm sorry these weren't as polished.
51:16
SPEAKER_03: I think the fact that they were rough made it more fun.
51:19
SPEAKER_03: Made it way more fun.
51:21
SPEAKER_03: I think it's it's fun to jump on the whole AI bullshit slop and and take our AI scripts and break it down to something more human and organic.
51:34
SPEAKER_03: So I think it's a blessing.
51:35
SPEAKER_03: Well, it's also you're showing what's the stupidest, fakest questions in the world, and we broke them down to make them digestible.
51:42
SPEAKER_03: Well, I think injectable.
51:45
SPEAKER_00: But I think you do see kind of what's out there too.
51:47
SPEAKER_00: You're seeing what it's pulling.
51:48
SPEAKER_00: I think it is interesting for a couple of things.
51:49
SPEAKER_00: So people are asking.
51:50
SPEAKER_03: Yeah, which is very it's great.
51:52
SPEAKER_00: All right, so the good news is I'm gonna get you on your stack.
51:56
SPEAKER_00: We're gonna I we are gonna eat you snatched.
51:58
SPEAKER_00: You have the problem is you have to use it and you have to listen to me.
52:00
SPEAKER_03: Like every day I have to inject myself with a needle.
52:02
SPEAKER_00: You're gonna have to inject yourself Monday through Friday.
52:05
SPEAKER_00: Well, for your Tesla Moreland Monday through Friday with a needle, and then I'm gonna have you do your um Red Athleticide, which is loop, lean, and burn Monday, Wednesday, Friday.
52:15
SPEAKER_00: You want this bad enough?
52:17
SPEAKER_00: Yeah.
52:18
SPEAKER_00: Okay.
52:18
SPEAKER_00: So it's August.
52:20
SPEAKER_00: August, September, October, November.
52:22
SPEAKER_00: I'm gonna have you back in December.
52:24
SPEAKER_00: Okay.
52:24
SPEAKER_00: And guys, we're all gonna hold them accountable.
52:26
SPEAKER_00: We're gonna see, and I'm gonna teach you the loop way and our way, which is our method of what are the things you need to do.
52:34
SPEAKER_00: If you listen to me, I can't wait to hear about how happy you are.
52:38
SPEAKER_03: Do you want me to pull my shirt up and show the audience my?
52:40
SPEAKER_00: No, we don't need that.
52:40
SPEAKER_00: You can take it home before and after.
52:42
SPEAKER_03: And then we can I could doctor that.
52:44
SPEAKER_03: That's it.
52:45
SPEAKER_03: No, we trust you.
52:45
SPEAKER_00: We do no one wants to see your stomach right now.
52:47
SPEAKER_03: Nobody wants to see my love handles?
52:48
SPEAKER_00: No, no, no, no.
52:50
SPEAKER_03: I have a six-pack under there.
52:51
SPEAKER_00: Perfect.
52:51
SPEAKER_00: I can't wait to see it.
52:52
SPEAKER_00: Okay, guys.
52:53
SPEAKER_00: Hopefully you had fun.
52:54
SPEAKER_00: Thank you for coming back, Dr.
52:55
SPEAKER_00: Zelkin.
52:56
SPEAKER_00: Like, at the end of the day, you know, it is really fun to have someone I now call a friend.
53:01
SPEAKER_00: And so, you know, I came in as a patient and you were my doctor.
53:04
SPEAKER_00: You're still my doctor, but I do say we're friends.
53:07
SPEAKER_00: And I feel like I'm definitely too.
53:09
SPEAKER_03: I feel like I'm more your friend than your doctor because you never come in and follow-up with me.
53:12
SPEAKER_03: Number one.
53:13
SPEAKER_03: Number two, I love the real gritty authenticity that that you that you generate from me.
53:19
SPEAKER_03: I I wanted you to send me these things so I can get a little bit of background research, but that background research would have been quick, it would have been AI generated, and all we'd be doing is filling this sort of group think, yeah, circle jerk of of information nonsense.
53:34
SPEAKER_01: Yeah.
53:35
SPEAKER_03: And and and getting it out of me like this and not letting me sneak peek was a really smart move, and I thank you for that.
53:41
SPEAKER_03: And it was way more fun.
53:43
SPEAKER_00: I think everyone's wanting authenticity right now, and they want realness.
53:47
SPEAKER_00: And it's why I shared my story, you know, that I haven't shared about it.
53:51
SPEAKER_03: And it's why the celebrities are doing the same button.
53:53
SPEAKER_00: Yeah, I think at the end of the day, you just want people also to feel comfortable being who they are.
53:57
SPEAKER_03: It's so easy to be fake and choose.
53:59
SPEAKER_03: It's hard to be real.
54:00
SPEAKER_03: Yeah.
54:00
SPEAKER_03: So thank you for being real with me.
54:01
SPEAKER_00: Thank you.
54:02
SPEAKER_03: Yeah.
54:02
SPEAKER_00: All right.
54:03
SPEAKER_00: Well, I can't wait to have you back in snatched.
54:04
SPEAKER_00: No pressure.
54:05
SPEAKER_00: Anyway, thanks for tuning in until next time.
54:07
SPEAKER_00: We will see you back on the loop way.