Latest / The Dr. Randi Show / The Hormone Fix That’s Changed Over 3,000 Lives — Dr. Rachel Fidino

Transcript

The Hormone Fix That’s Changed Over 3,000 Lives — Dr. Rachel Fidino · The Dr. Randi Show

0:03
The views expressed in this podcast are for informational
0:06
purposes only and do not constitute medical advice.
0:09
This episode of the Doctor Randy Show is proudly sponsored by New
0:13
Beauty, the ultimate authority in beauty and aesthetics.
0:16
Whether you're looking for the latest innovations, expert
0:19
insights or trusted recommendations, New Beauty is
0:22
your go to source. Visit newbeauty.com to stay
0:25
ahead of the trends and discover what's next in beauty.
0:28
Now let's get into the episode. Hello everyone, and welcome to
0:32
the Doctor Randy Show, technology, innovation and the
0:36
people pushing the boundaries in the beauty and medical industry.
0:40
I'm Doctor Randy Boyett and let's get into it.
0:43
Today's guest treats over 3000 women with hormone replacement
0:47
therapy and she's doing it her way.
0:50
She's built a clinic, launched a movement, and now she has her
0:54
own reality show. Unfiltered, unstoppable and
0:58
rewriting the rules of Women's Health.
1:00
Please welcome Doctor Rachel Fedino.
1:03
Thank you so much for having me, Doctor Randy.
1:05
I'm so excited. So we're thrilled to have you on
1:09
today. So I really want to jump right
1:11
in and talk about these 3000 women that you are helping.
1:15
That's an astounding number and it really means so much.
1:19
You are treating over 3000 women with hormone therapy.
1:23
It's unheard of. Tell me a little bit about and
1:26
the listeners what is it that women are coming to you for and
1:30
what do they feel that others are not giving them?
1:34
A lot of women are coming to the door because they've been
1:36
frustrated because they've potentially seen several other
1:40
providers before they get to me. And they've been told to their
1:44
providers that they don't feel well, that they're either having
1:47
hot flashes, night sweats, decreased libido, several
1:51
different symptoms that they're having.
1:53
And they're being told by a lot of different practitioners that
1:56
this is just part of the process of getting older and this is
1:59
just the next chapter of life. And a lot of women are kind of
2:01
being pushed off that, that this is just a chapter that they have
2:04
to deal with. And unfortunately, there are
2:06
several different treatment options to be able to provide
2:09
women incredible quality of life for the remaining chapter of
2:13
their 30 to 40% of their years that are remaining.
2:16
And so by the time that women get to me, they're typically
2:19
defeated and frustrated and they've been given the
2:21
runaround. And then we get to tell them
2:24
absolutely what they're feeling is normal and expected and
2:28
extremely young ages for some women, and that we have a
2:32
treatment option that can provide them an incredible
2:34
quality of life and get them back to filling them again.
2:38
Sure. Well, it's such a a hot topic,
2:41
right? Females and their hormones.
2:42
So if you don't mind Doctor Rachel, tell us a little bit
2:45
about your background and and how you got started in the field
2:49
of hormones. It's such an interesting story.
2:52
It is very interesting. I feel like everything just
2:55
lines up beautifully as far as how I've landed in this
2:58
position. When I was 32, I went into
3:02
surgical menopause and so I was diagnosed with cervical cancer.
3:05
And so I woke up from having a hysterectomy.
3:08
And at that point the hot flashes had started and I gained
3:12
40 lbs after I went into menopause.
3:15
And I I myself was practicing at that time.
3:18
And I went to my own OBGYN, letting him know, like, what is
3:22
going on with my body? I completely don't even
3:25
recognize the woman that's staring back at myself in the
3:28
mirror. And he told me, like, yeah, this
3:31
is part of it. It will get better over time.
3:33
But that was really my answer that I'd gotten.
3:35
And I was like, no, there's got to be something better that I
3:40
can do. And so I finally did find a
3:42
provider who treated my symptoms but also provided me back my
3:47
quality of life that I had lost. And so my background is in
3:51
women's house. I'm board certified as a Women's
3:53
Health nurse practitioner. I received my doctorate just to
3:56
add another layer to my skill set, and I started new women's
4:01
aesthetics with the foundation of where Wellness meets beauty.
4:05
So helping women with their hormonal balance, which includes
4:08
hormone balancing, weight loss, all of those things.
4:11
And then women feel great on the inside.
4:13
They naturally are starting to see us on the aesthetic side as
4:17
well. So it's a beautiful blend of
4:19
caring for the whole patient and not just really her symptoms.
4:22
I think all of that background gives you such a wealth of
4:25
knowledge to help other women, right?
4:27
So tell us a little bit about what is the most common thing
4:31
women say when they finally feel better and their hormones are
4:35
balanced. That they feel like they have
4:38
them self back. They've typically been feeling
4:40
this way for several months to several years and they've just
4:43
been pushed off for so long that they I've saved a lot of
4:46
marriages because women are potentially not balancing with
4:50
their spouse or their significant other because they
4:53
know that their body is sometimes out of control and
4:56
they don't know how to get it back.
4:57
And so once they actually start to feel good, start to sleep
5:01
well again. And Can you imagine after months
5:03
to years of not sleeping well at night that a lot of women do
5:06
experience and perimenopause and menopause, like anybody's going
5:09
to be probably a little bit crabby.
5:11
And so imagine how you feel when you can sleep through the night,
5:13
where you can feel good, your sexual libido is that you feel
5:17
good looking in the mirror. Naturally.
5:19
The trickle down is women just feel like themselves again.
5:22
And like I said, it's one of those things that once you help
5:26
a female with her hormones, everything else in her life
5:28
seems to get better. These women are also very high
5:31
producers. Their work improvements better,
5:33
their quality of life is better, friendships are better, better.
5:35
It's just a trickle down effect. I think that sometimes women
5:41
even lose sight of like what normal is supposed to feel like
5:46
after a while, wouldn't you agree?
5:48
Absolutely, because sometimes it's not the screaming hot
5:51
flashes are nice. What's that women come in with?
5:53
Sometimes those symptoms are very, very subtle, but they just
5:56
know that they just don't feel right.
5:59
And so it's really up to us as practitioners to uncover what is
6:03
going on and allow her to feel vulnerable and open up to that
6:06
space of like what is going on with them.
6:08
And so sometimes it's us giving them those probing questions of,
6:12
you know, are you having potentially if your skin dryer
6:14
or your hair, is your hair falling out?
6:16
Are your nails brittle? You know, have you gained
6:19
weight? Are you sleeping at night?
6:20
Do you have a 2:00 alarm clock that is internal that wakes you
6:24
up every night and you can't go back to sleep?
6:26
So sometimes it's these probing questions that we will give them
6:29
and then they understand like, yes, I have check, check, check.
6:32
And then they understand that there's a solution for this.
6:34
I just thought that this is just part of getting older.
6:38
It's funny that you just said that because I think that a lot
6:42
of women wind up going to one or two of their usual providers and
6:48
not getting, you know, the proper guidance.
6:51
And I think that that is probably part of the hiccup.
6:56
I know as a 54 year old woman, I'm constantly being told any,
7:01
anything that's wrong with me. I'm constantly being told it
7:03
must be your hormones, right? It's your hormones, it's your
7:06
hormones. And it's actually not in my
7:08
case. But nevertheless, what do you
7:11
wish that more providers understood about hormone health?
7:17
It's such a balance. Hormones are such a harmony.
7:19
And if you're not comfortable potentially treating that
7:22
patient for her hormonal imbalance, then send them to
7:24
somebody that that's all that they do or they're very used to
7:27
treating. Because the worst thing that we
7:29
can do is minimize what our patients are feeling and not
7:33
treating them versus sending them to somebody.
7:36
Whether it's, it doesn't really matter, wherever they're at in
7:38
their industry, they can find people online if they need you
7:40
to, somebody that's credible, that has the background that can
7:44
definitely manage these patients safely, but also know
7:48
potentially how to get that one driver hormone back into balance
7:52
because maybe it's one hormone, but potentially could be two or
7:55
three. And then also you have to be
7:56
able to evaluate, is this just a hormonal issue or do we need to
7:59
bring in the endocrine system? Is this also a thyroid issue?
8:02
Because a lot of women don't realize like is this a thyroid
8:05
component? Is this a estrogen,
8:06
progesterone, testosterone component?
8:08
So it's making sure that they're being referred to a provider
8:11
that knows how to take it, that holistic approach to get them in
8:14
balance of whatever that hormone may be.
8:17
I think what makes the hormone therapy difficult is that it is
8:20
different for every person, right?
8:22
There's not just one pill that works for everyone.
8:25
I think that that, you know, gets providers a little
8:27
confused. Maybe it's even intimidating for
8:30
them. I think sometimes.
8:32
What do you think are would you say are like the top five
8:36
symptoms even if you can come up with five that women start
8:40
brushing off that they don't even realize is from their
8:43
hormones? Falling asleep and staying
8:47
asleep very, very common that we brush off weight gain.
8:52
The other big one I would say would be sexual libido, that a
8:57
lot of women just feel that it's just they're just getting older
8:59
and it's not one that's always discussed.
9:02
The amount of fatigue and decreased stamina is potentially
9:05
one to two. But also a lot of women are
9:09
treated for anxiety and depression in this country.
9:12
Anxiety, depression is one of the number one.
9:15
These medications are one of the number one prescribed
9:17
medications in the country. However, when I see my patients
9:20
and they're on antidepressant, yes, there's a place for that.
9:22
But this is one of those subtle symptoms that a lot of women are
9:25
not anxious to come to see me or they don't have depression, they
9:29
have a hormonal imbalance. And so as soon as they get their
9:31
hormones balanced, we didn't start titrating them off of
9:34
their antidepressants because they maybe didn't even need that
9:36
to begin with. They weren't anxious or
9:38
depressed. They had a hormonal imbalance.
9:40
And so that's another big one that would say for that fat
9:42
fifth one, that is one that women are are treated for
9:46
anxiety and depression, but that's not really their issue.
9:49
Right. I think that yes, there's a lot
9:52
of medications that are over prescribed in this country and
9:54
could be fixed very easily. So my next question is a tricky
10:00
1 and something that I would love to chime in on.
10:02
How early do you think that women should start getting
10:07
tested and test their hormone levels?
10:09
How early should they start doing this?
10:13
This is a touchy subject for sure, but I start looking at
10:16
women even in their 20s so we don't realize that testosterone
10:20
for example, it's one of the first hormones that starts to
10:22
decrease in our late 20s, let alone when a female is now into
10:26
her 30s. Perimenopause is one of the most
10:28
challenging times for females that I find that menopause is
10:33
these women that have adjusted to low hormone state and
10:37
typically they've gone through perimenopause just fine and then
10:41
we can adjust the slow hormone state.
10:42
So menopause is actually the easiest time period for me to
10:45
treat. Perimenopause is extremely
10:48
challenging because not only do we have a hormonal imbalance to
10:51
deal with, we have the period. For a lot of these women, that's
10:54
crazy. It's chaotic.
10:55
They know something is wrong and they don't know what, and it's
10:58
because their hormones are not adequately balanced.
11:00
So for some women in their 20s, if they're even on birth
11:04
control, for example, but they have a decreased libido, well,
11:07
maybe it's their birth control that's causing that.
11:08
We can help with their sexual libido.
11:11
But also if the females in her 30s, we typically know that
11:13
progesterone starts to get lower into our mid 30s.
11:16
And then in our 40s, estrogen is that last hormone to go.
11:19
And estrogen is like the little engine that could, it will just
11:22
not go away. And so it's pulsing, but it's
11:24
not a beautiful bell curve anymore.
11:26
It's more like a lightning bolt that these women are having to
11:28
deal with. And it really doesn't start to
11:30
kind of calm down until the average age, 5152, the average
11:34
age of menopause is 55, where 90% of women are menopausal by
11:38
that point. But I have a 65 year old.
11:40
That's like, when will my period just go away?
11:43
We still have some women that do go past 55 that we're still
11:46
having to deal with. But perimenopause is quite
11:49
challenging that it really takes the art of how do you manage
11:52
these patients? Sure.
11:54
And a little, a little bit, you know, personal to me being in
11:58
this industry, I very early on in my mid 40s decided to have my
12:04
hormones checked. I wasn't having any symptoms,
12:07
but I thought to myself, wow, after talking to so many women
12:11
and being in this industry for as long as I have and
12:14
understanding how the hormones work, I said to myself, surely
12:19
at the age of 4344, my hormones are not what they used to be,
12:24
right? So I had a very exciting hormone
12:28
journey and I think that if more women would get ahead of it, I
12:33
kind of call. It was like my menopause hack.
12:36
I went and had my hormones checked my I guess around 4344,
12:41
they did tell me these are the hormones that are dropping.
12:44
This is what needs, you know, to be supplemented.
12:47
And I got ahead of it and now I'm 54, having no symptoms of
12:54
menopause. And as of last month in showing
12:58
my levels, I'm nowhere near menopause.
13:00
They're telling me I could go six or seven more years before I
13:04
hit menopause. So for me, I think, and I've
13:07
kind of heard that this is possible, that it that you can
13:11
prevent some of menopause by getting on the hormones ahead of
13:15
time rather than suffering through menopause, then waiting
13:19
to try to fix it and put a Band-Aid on it.
13:21
For me, it's been a great experience, which is why this
13:25
show, I think, is so important for women to hear about women to
13:28
understand how powerful HRT is. When I hear friends and
13:33
colleagues really struggling through menopause and I think
13:36
how lucky I am that I got ahead of it and still feeling really
13:40
good and having my skin feel, you know, like I don't have any
13:44
of the menopause symptoms. So I think giving that message
13:48
that we don't have to wait until we go into menopause to get a
13:51
hormone consultation is so critical.
13:54
Absolutely. And it's a combination of
13:57
knowing so #1 I've never seen a patient in my 3000 hormone
14:02
patients I take care of. I've never seen a female 40 plus
14:05
that has come into my door and had a normal panel.
14:07
It just doesn't happen because hormones, we do know it drops
14:10
off so sharply when they're even in the late 20s.
14:13
So it's the art of knowing how do we order those hormone panels
14:17
to get a really accurate view of what's going on at a timing.
14:20
For example, if a female's having a monthly period still,
14:23
but she just feels that something isn't quite right,
14:26
then it's important that we totally draw the hormones on
14:28
menstrual cycle day three and then about a week before they're
14:31
due for their period. Because then it really gives me
14:33
a really good snapshot of what is going on at these very
14:36
specific times in her menstrual cycle that we could potentially
14:40
treat her. And like you mentioned, it might
14:42
not just be all three hormones that we're treating.
14:45
She might dispute efficient and just one hormone.
14:48
And so even if her lab panel is slightly not balanced and might
14:51
start with her with just let's say progesterone for four weeks
14:54
and then re evaluate her in four weeks to say how are you
14:57
feeling? And if she says?
15:21
Agreed. And it is a a journey, right?
15:23
Because you're pulling those levels on a regular basis,
15:27
right? How often do you pull them at
15:29
your office? So for women, once they're
15:32
dialed in, once they're balanced, we're getting a
15:34
minimum of every six months. A lot of my patients, I'm
15:37
getting them every three to four months.
15:38
But if they're doing phenomenal, everything is in balance,
15:41
they're easy feasy at that point.
15:43
We move them to every six months or sooner if there is some sort
15:47
of change. So frequently throughout the
15:48
year we are monitoring them just to make sure that they're doing
15:51
OK. OK, yeah, I've noticed that, you
15:55
know, every few months when they pull my levels sometimes, but we
15:58
have to tweak things a little bit.
15:59
So I think it's great to keep your finger on the pulse of
16:02
that. So for our listeners and viewers
16:06
out there, if they're obviously not everybody can get to you.
16:10
But if there's somebody who is in their 40s and not feeling
16:15
like herself and unsure where where to start, what do you
16:19
recommend her first step should be?
16:23
You know, I think it's important to make sure that you're going
16:25
to provide or that you feel comfortable having these
16:27
conversations with and then self advocating for yourself that I
16:30
know that my hormones are not balanced and trying to make sure
16:33
that you're getting those hormones drawn so we can get a
16:35
snapshot of what's going on. And there there is the national
16:39
menopausal society that a lot of us are on that specialize in
16:42
hormone management. So sometimes that helps if
16:44
you're like, I don't know where to go or I'm in an area that I,
16:46
I don't think that my primary care is going to be willing to
16:48
manage this for me. Just going on to a menopausal
16:51
society like NAMS that were able to list our information on there
16:55
and us as providers were able to see, OK, well then this this
16:59
person I can go to because obviously they know what they're
17:02
talking about for the most part. Sure.
17:05
And I think that the more we talk about it, then women
17:08
realize that there are resources and more resources.
17:11
And I think women talking to other women and and getting
17:15
referrals and getting like understanding what the
17:18
capabilities are, I think that's incredible.
17:21
So what is your take? Because one of the most common
17:25
questions is bioidentical versus traditional HRT.
17:30
Can you talk about that for a minute?
17:32
Because people talk about that regularly.
17:35
Absolutely. So the Women's Health Initiative
17:37
scared so many patients from being on hormone therapy.
17:41
The Women's Health Initiative was looking at synthetic
17:43
medications like Prem Pro for example.
17:45
And so in my practice, I only prescribe bioidentical hormone
17:49
replacement therapy. However, there's a difference
17:52
between synthetic and bioidentical.
17:54
So bioidentical is still an FDA approved medication or you can
17:58
go a compounded route. So I do a balance of both.
18:01
So for example, women that I'm treating for estrogen and
18:04
progesterone, their insurance will cover for me to send in.
18:07
For example, I like transdermal estrogen.
18:10
I like an estrogen patch over oral estrogen, even being a
18:13
bioidentical. And so I'll prescribe what's
18:16
called Mini Ville and it's the most adhesive patch on the
18:19
market, which I really like. So it doesn't come off with
18:21
showering or and so I'll prescribe them a bioidentical
18:24
estrogen. However, their insurance does
18:26
cover it. Same thing is prometrium is a
18:29
bioidentical progesterone that these women can be taking that
18:31
insurance cover. So there is some insurance
18:34
covered for bioidenticals. And I think that that's a
18:36
misnomer that when you hear bioidentical, a lot of patients
18:39
think my insurance isn't going to cover it.
18:41
It actually will cover it if it's an FDA approved
18:43
bioidentical. Now there's also synthetic,
18:46
which is your Prem pro, your norethendrone acetate.
18:51
We know with the Women's Health Initiative that estrogen alone
18:55
does not increase the risk for breast cancer Based on that
18:57
initiative. We know that the group that was
18:59
in the progesterone pro group, we know that progestin's, not
19:03
progesterone can slightly increase the risk of breast
19:05
cancer. So I let my patients know that
19:08
there is a big difference. We look at the scare with being
19:10
on hormone therapy between synthetics and bioidentical.
19:13
I do believe that bioidentical is safer because we we've looked
19:16
at those studies and we know that bioidenticals prescribed in
19:19
the right way do not increase the risk for breast cancer.
19:23
So I think that that's the big elephant in the room that a lot
19:25
of women are believe to that if they were to start on hormone
19:29
therapy, they're going to get breast cancer.
19:30
The biggest risk for getting breast cancer as a woman ages,
19:33
age is the number one indicator. And so I let my patients know
19:36
that that's the really the big difference.
19:38
Now compounded medications, those are also bioidentical, but
19:41
insurance does not cover those. So I prescribe compounded
19:45
testosterone therapy personally in the form of a pellet.
19:49
There's different qualities of pellet though.
19:50
So I tell my patients it's not all testosterone pellets are
19:53
equal, but those are not covered by insurance because those are
19:56
non FDA approved for females. And so it's understanding and
19:59
walking them through this journey of letting them know
20:02
that most of their therapy with me will be covered by their
20:04
insurance or by the pharmacy that they're choosing.
20:07
But there is that small cohort that, you know, testosterone for
20:10
example, is not covered. Or if they're getting compounded
20:13
creams, these little chokies or drops, a lot of times that's
20:16
compounded. That's a recipe that we give to
20:18
a pharmacist that also is not typically covered.
20:21
By your insurance. Got it.
20:24
I think that's a big concern for some women, right?
20:26
Because they want to make sure that it is covered.
20:28
Not everyone can afford so that. Thanks for sharing all that
20:32
information. Couple things that I think the
20:35
listeners wanted to know, with so many women that you're taking
20:39
care of that are in your care and in your clinic, how do you,
20:43
and I know you do this, but how do you find the time to keep it
20:46
personal with each patient? You know, in my practice, I make
20:52
sure that I'm not just, I don't run patients who like cattle.
20:56
We have a very concierge practice as well.
20:58
And I think that that's the biggest thing for me is women
21:00
need to know from the moment that they come in that they're
21:02
getting an experience that we generally care about their
21:05
well-being, that we care that they're here.
21:07
I know that there's a lot of people within a five mile radius
21:10
in my clinic that these patients can go there and have a similar
21:13
discussion. But when they're with me, I
21:16
genuinely treat every single patient like their family
21:20
because I know what it feels like to get brushed off with my
21:22
own hormone care. So it's making sure that women
21:25
and hormones, it's a very vulnerable time to start
21:27
discussing like what they're going through or their sexual
21:31
libido and those sort of things because it's the very intimate
21:34
conversations. They need to make sure that they
21:36
can relate to that provider and making sure that it's a good,
21:39
it's a good benefit for both of us.
21:41
You know, I'm very open about me being on hormones because a lot
21:44
of women look at me, they're like, Oh my gosh, like you'll
21:46
know this in about 20 years. I'm like, oh, no, like I've been
21:49
on hormones for over, you know, over 10 years, 11 years.
21:51
So they're like, oh, wait, what? And it starts a really good
21:54
conversation. Or they'll come and see me for
21:56
weight loss. And I'm talking about weight
21:58
loss, that the conversation with weight loss is, is somebody
22:00
managing your hormones? Because they're such a blend of
22:02
both. I think you're doing a fantastic
22:05
job for women and helping them, and I think that because you've
22:09
been through it, there's nothing more compelling than talking to
22:13
somebody who's been through what we've been through.
22:15
That's how we bond with people, right?
22:16
So I think that's so important. So one thing that Doctor Rachel
22:22
that I have read about when it comes to you is that you have
22:26
been helping push through some major health legislation.
22:30
So if you don't mind, tell us a little bit about that and what
22:33
made as you dive in that direction so.
22:37
My family is BRCA positive, BRCA 1 positive.
22:40
So we have the gene that could increase your risk for
22:42
developing certain types of cancer like breast, ovarian
22:45
cancer. And so I have a cancer board.
22:47
And so it's something that I'm very passionate about, but I
22:50
always like to see what can we do to potentially prevent women
22:53
from getting breast cancer or to catch it early.
22:56
And so several years ago, I started trying to push the
22:58
legislation in our state. I was that patient that was high
23:01
risk for breast cancer. And so I was on imaging every
23:04
six months between mammogram and MRI.
23:06
And I, and A lot of times my insurance want to cover a lot of
23:09
my MRI and it was expensive. And so I wanted to push
23:12
legislation in Washington state so women didn't have to forego
23:15
having that important imaging to potentially try to catch cancer
23:18
earlier. So after two years of lobbying
23:21
with legislators and testify and testifying, we're able to get
23:25
that bill across the finish line.
23:26
And so now in Washington state, women are now covered for their
23:30
deemed high risk for their annual MRI screening.
23:34
Good for you. I love to hear that.
23:36
So that's thank you. You took.
23:38
Your time and your energy to make sure that happens.
23:42
So on that note, where do you feel like the healthcare system
23:46
is failing women the hardest right now?
23:50
Gosh, that's a really tough when we, when we go on the I'm very
23:54
passionate right now about breast reconstruction.
23:56
And that's something where I feel like on a breast cancer
23:59
spectrum that I have to deal with, with some of my patients
24:01
that this is something that's not women when they have a
24:04
double mastectomy, for example, having reconstruction isn't
24:07
something that we should be saying is a negotiation.
24:10
I would say, you know, trying to be politically correct with
24:13
this, but it's one of these things that these women, if they
24:15
want to have a nipple sparing mastectomy and they want
24:18
reconstruction, their insurance to be able to cover that.
24:20
And we found in several states that they find that this is more
24:24
of an aesthetic concern and something that is suggestive and
24:28
that a lot of insurance companies don't feel that they
24:30
need to cover this for women. And so that's something that I'm
24:33
really passionate about right now.
24:34
I'm looking at some legislation to try to help in other states
24:38
trying to get that to pass through where women, if they
24:40
have a double vasectomy, then they should be able to have
24:43
reconstruction and not have the burden of a huge bill to cover
24:46
that. So I think that's one area that
24:49
we could do better on. And then of course, another area
24:52
that I'm really passionate about is mental illness, not just for
24:55
women, but for across all genders.
24:57
I feel like women and men in general, they shouldn't be
25:00
treated like Guinea pigs when it comes to being prescribed
25:02
medication. And so I think if we have tools
25:04
that are available to us, we can practice more precisional
25:07
medicine. Why not utilize them?
25:09
So there are some tests that we like to use that.
25:12
It's a cheek swab. Insurance covers it.
25:14
That actually tells me what medications, these patients that
25:17
need those medications, what do they break down?
25:20
And then we only prescribe that drug.
25:22
And so instead of this trial and error potentially making people
25:26
feel worse, it's actually looking at the root cause of
25:29
saying if they need that medication, let's prescribe the
25:31
right one the first time. Right.
25:34
I love what you're doing and fighting the good fight and
25:37
helping people make sure that they stay aligned.
25:39
So what I also love that you're doing because you know you are
25:43
an advocate and a voice, is that you are franchising your clinic,
25:48
right? So there'll be more Doctor
25:50
Rachels and I'm sure that you'll be very involved in the training
25:54
and the setup and all of that. So if you don't mind, tell us a
25:57
little bit about that. What made you decide to expand
26:00
that way and what is the biggest, the bigger vision
26:02
behind it? When I launched new you, I knew
26:06
that what we had was very unique.
26:08
So a lot of Med spas when they launched, they're just, they're
26:11
a Med spa and then they kind of bring in Women's Health.
26:14
And for me, it was a little bit backwards.
26:16
We're very Women's Health focused.
26:17
And then we were like, you know, our slogan, we're Wellness meets
26:20
beauty. We're like these women are
26:21
feeling so good. We want to make sure that we
26:23
help them on their outer beauty as well.
26:25
And so I'm only one person and I knew that if I were to, I think
26:29
the biggest thing is the CEO is like giving up the control of
26:33
like what you've baby for so long and allowing others to
26:36
share your vision. And I know that if we were to
26:39
franchise, I can get the right owners in there to spread the
26:42
word throughout the country instead of just the locations
26:44
that I'm of course, opening myself.
26:46
And so I knew that I wanted to impact on a bigger scale.
26:49
In order to do that, I knew I needed the franchise.
26:53
Congratulations. So when?
26:55
Thank you. We are we able to sell
27:00
franchises the end of July. So we are almost done our FDD
27:05
and our operations manual is nearing the finish line.
27:08
And so we are just we have a really good team behind me and
27:11
so we're ready to execute that and create something different
27:15
in the medical community as well as the aesthetic community.
27:17
I think that it's really important to let you know the
27:20
whole nation know like this is our model.
27:23
It's very unique across The Four Seasons of the Med spas.
27:26
It's a very premier experience that you get when you come in
27:28
and see us. And so it's very different feel.
27:31
And so we just want to share that with more people.
27:34
So you have an outspoken voice in the industry, Doctor Rachel.
27:38
We love it. And as I understand, you have a
27:42
reality show coming out. If you don't mind sharing a
27:45
little bit about that. Yes, we the reality shows talk
27:50
called Doctor badge Queen. So you won't you won't forget
27:54
it. So Doctor Badge Queen is pretty
27:56
much a show that's running with a high level CEO with, of
28:00
course, there's lots of scandal and drama that occurs in just
28:05
life. And I think that there was
28:07
something that it was really scandalous and massive that
28:10
occurred in my life several months ago.
28:12
And it was something that you just couldn't make up if you
28:15
wanted to. And so we had already had a
28:18
trailer that was created. We decided to kind of wipe that
28:21
trailer clean and then shoot a brand new trailer.
28:23
And that's what we're in the process of doing.
28:26
We're our new trailer will be finalized in two weeks.
28:29
So we're nearing the end of that.
28:30
But yeah, I think it's just allowing people to see behind
28:33
the scenes of what is it like to drive with a high level CEO.
28:37
But also it's it's kind of sharing that with the world, but
28:40
also just like running with us as we franchise and just, you
28:43
know, kick ass and take names. Yes.
28:46
It's so fun, so good for you. And I mean, was it scary?
28:50
Was that a big decision to say yes to putting your life on
28:53
screen? Yeah, definitely it was.
28:56
I mean, I was very grateful that I was able to have one child and
29:01
my daughter is turning 17. And so my biggest thing was what
29:05
can I do to protect her? And so that was kind of the
29:07
biggest decision that I wanted to make and have those
29:09
conversations with her, to try to protect her as as best we
29:12
can. I've been to send medical
29:14
conferences, a set of conferences and I had a film
29:16
crew with me for some of them. And I love to raise fast cars.
29:20
And so one episode was me at the Las Vegas Speedway racing
29:26
Hurricane. And so it's just super fun of
29:29
just like getting out and just breaking off a little bit of
29:31
steam and just kind of showing like a different layer to my
29:35
life. I.
29:36
Can't wait to see it, we can't wait to watch.
29:39
So before we move on to our speed round, so I'd love for you
29:45
to just tell us what is your message to women who still think
29:50
that it's too late to feel like themselves again?
29:53
And I know there are still women out there feeling like this.
29:58
Yeah, absolutely. I had a console on a 65 year old
30:01
this morning. So it is never too late is the
30:04
biggest message. Like if you are not feeling
30:07
incredible in the chapter of life that you're in and just
30:10
know that there is a solution that's out there and at least it
30:14
should be explored. It's important to not just say
30:16
like this is just the next chapter and I just need to wake
30:19
up every day and just feel miserable.
30:21
Know if you want to feel better, there is an answer for that and
30:24
you just need to find the right provider that's willing to go
30:26
the distance to be able to help you get to your best self.
30:30
Agreed and I think they also need to put the fear behind them
30:34
and start doing some research because there is a lot of fear
30:37
out there from like you said, the studies, the old research,
30:41
things that were circulated, even people in our industry
30:45
still don't understand right like the changes that have been
30:49
made. So I think they need to do their
30:51
own research and have their own appointments and and move
30:54
forward. So anything else that you want
30:56
to share with us today, Doctor Rachel?
30:58
No, I think that. I think that's it.
31:01
OK, great. Well, you've been an amazing
31:03
guest, so thank you. And I think the listeners and
31:07
the viewers out there will get such a great amount of
31:10
information about HRT. You know, women out there just
31:13
wanting to know what's their next step.
31:15
And if you don't mind sticking around, we'd love to take you
31:18
through our speed round and get to know you a little better and
31:21
have the listeners get to know you a little better.
31:23
Are you up for it? Yes, that sounds good all.
31:26
Right, Doctor Rachel, here we are at the speed round, first
31:30
thing you do when you wake up in the morning.
31:32
Meditate. Coffee.
31:35
Or tea. Coffee early.
31:39
Bird or night owl? Early Bird.
31:42
Heels or sneakers? Heels.
31:46
Lipstick or lashes? Oh shoot, probably lipstick 1.
31:52
Thing you never skip in your morning routine.
31:56
Square or. One thing you always forget.
31:59
Oh gosh, to make my bed. Text or phone calls?
32:04
Text Clinic. Music, silence or playlist?
32:10
Playlist. One snack that's always in your
32:13
desk drawer. Beef jerky.
32:17
What's your most used emoji? Art.
32:22
Instagram or TikTok? Instagram.
32:27
What show do you binge when you need a break?
32:31
Oh gosh, I watch the Chosen. Dream guest star that would be
32:37
on your new reality show. OK, well, you should be on the
32:41
reality show for sure, but Cindy Eckert.
32:45
OK. Phone battery at 5% or always
32:50
fully charged it's. Always fully charged.
32:53
Same most used app on your phone.
32:58
My mail if that's an app, Outlook.
33:02
Favorite time of day? Before tan.
33:07
How many alarms do you have to set to get up in the morning?
33:10
11. Word to describe your clinic
33:16
Unique One word to describe your personality.
33:21
Earless. I love that.
33:23
How many open browser tabs on your desktop right now?
33:26
Or laptop. At least 5.
33:31
What is always in your car? Lip gloss, do you?
33:36
Usually run late or arrive early.
33:39
Arrive early. What's your favorite guilty
33:42
pleasure snack? Oreos.
33:48
How many hours of sleep do you get?
33:51
Always get 7. Do you answer work emails after
33:55
8:00 PM? Yes, one.
33:59
Thing that's in your purse right now that you'd be embarrassed to
34:01
show I. Have my FDD in there right now.
34:06
You're what is it? So 300 page FDD for franchising
34:11
is literally. My big couple bank right now and
34:13
it's in your purse. Purse.
34:16
It's so not sexy. That's OK.
34:19
Do you sit down for a lunch break every day?
34:22
No favorite. Aesthetic treatment for
34:25
yourself. BBL do you?
34:28
Read your own online reviews. No how?
34:32
Long does it take you to get out the door in the morning?
34:35
An hour what? Fashion item do you put on that
34:39
makes you feel like a rock star? Of course I'm going to say lock
34:43
and bears my beauty oil. Do you wear a watch or you check
34:47
your phone? I checked my phone well.
34:50
That's it, That's it. OK.
34:52
Well, you did awesome. Thank you so much.
34:56
Thanks for all. Thank you for and great to know
34:58
you. It's been a great show.
35:01
Really looking forward to trying.
35:03
The beauty products that you gave me just got started a
35:05
couple of days ago. So we're excited to talk about
35:08
that next time we have you on. So we'll have you back in a few
35:11
months to talk about the reality show and talk about how things
35:14
are going. Great.
35:16
Thank you so much. It's so great to have you on.
35:18
Thank you. Thank you and.
35:20
Everyone, thanks for joining the Doctor Randy show.
35:24
Doctor. Randy Boyett holds a PhD and is
35:26
a recognized leader in the aesthetics and medical industry.
35:29
She is not a licensed medical doctor.
35:32
All commentary and product recommendations are based on
35:35
industry expertise and are provided for informational
35:38
purposes only.