Latest / AI for Founders with Ryan Estes / Peptides, and the Future of Human Performance

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Peptides, and the Future of Human Performance · AI for Founders with Ryan Estes

0:00
Have you checked out GOP ones? Are you losing weight?
0:03
Or better yet, are you losing fat or losing strength?
0:06
And is your doctor's standard dose quietly making you worse?
0:10
So the controversial truth with GOP ones is the weight loss
0:13
today is just a smaller dysfunction.
0:16
People are dropping 20 to 30 lbs fast, but they're losing muscle.
0:20
They're feeling awful and ending up weaker than before.
0:23
So now you've got a lighter body with the same problems.
0:26
Because the real breakthrough isn't the drug, it's the
0:28
precision. But what if instead of following
0:31
a fixed protocol, you treated your body like a system?
0:33
Dial the dose like a dimmer switch.
0:36
Reduce appetite just enough, not eliminate it.
0:39
Create a small sustainable deficit, not starvation.
0:42
Suddenly you're not fighting your body, you're collaborating
0:44
with it. This is software thinking
0:46
applied to biology. Real time feedback loops,
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adaptive dosing, Health that behaves more like a product than
0:53
a prescription. Because in a world where AI
0:55
outperforms your brain, your competitive edge becomes
0:58
physical energy security presence.
1:01
So if your body is the operating system for everything you build,
1:04
why are you still running it on default settings?
1:07
Welcome to AI for founders. I'm Ryan Estes.
1:09
This is for founders who want to turn health into leverage and
1:12
learn how precision medicine, peptides and AI are changing
1:15
what peak performance actually looks like.
1:18
If you want an unfair advantage, start with your inbox.
1:21
If you want signal over noise, you know where to go.
1:24
AI for founders.co. It's where builders get sharper.
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And if this hit, leave a review, like if you're writing it for
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So your ideas don't just exist, they spread.
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That's kick Caster by Mobers. Doctor Ian Ellis, welcome to the
1:48
show. Thank you so much for joining
1:50
me. Yeah, you're so welcome.
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It's a true privilege to be here.
1:53
Thank you. Yeah, I'm really excited about
1:55
it, One, because we we dive deep into kind of medical
1:59
applications, where we're at, where we're going.
2:02
And I'm really excited to talk to you about the the opportunity
2:05
for therapies now, what the future looks like.
2:08
And kind of like your role, you know, as an MD, as an
2:11
entrepreneur, as the founder of Voafit, we can get into that.
2:16
And maybe that's a good place to start.
2:18
Let's tell me a little bit about voafit.com.
2:22
Yeah. So Voafit is, is a concierge
2:24
medical practice and we specialize in precision dosing
2:28
of GLP 1 weight loss medications, hormone
2:31
optimization. And I use that word
2:33
specifically, not just replacement, but optimization
2:35
for men and women as well as the full menu of, you know, advanced
2:40
peptide therapies, kind of this new wave of therapies to
2:42
optimize your health rather than just manage chronic disease.
2:46
And so that's what we do. I started it really as a a
2:51
passion project because I coming from traditional Western
2:57
medicine, I was an ER doc full time for almost 10 years, really
3:01
steeped in that traditional, you know, mechanism of treating
3:06
people with traditional medicines and managing their
3:08
chronic diseases and really getting disillusioned in the ER
3:11
setting of how we just weren't ever making a difference.
3:13
It's like we're just bailing out the pool all day every day and
3:16
people just jump right back in. The same people over and over
3:20
with the same problems with the same therapies and never
3:22
actually getting anywhere, getting across the finish line
3:25
to actual health. And I've, I've had my own
3:28
challenges with that, you know, particularly in the area of
3:31
being overweight or, you know, struggling with kind of having
3:34
an ideal physique. That's a personal battle I
3:37
fought my whole life. And my first exposure to any
3:41
sort of medicinal help with that was when I was exposed to
3:45
semaglutide in sometime in 2022. And I was prescribed the
3:50
standard dose. It was presented to me as, you
3:53
know, somewhat of a magic bullet in terms of, you know, you just
3:56
take this powerful new therapy. It, you know, kills your
4:00
appetite. And I, you know, you solve the
4:03
appetite problem that plagues anyone who's been in a calorie
4:06
deficit for a significant amount of time and you, you lose weight
4:09
and you get where you're trying to go, which of course sounded
4:11
very attractive. I jumped into that ahead first
4:15
because I was tired of spending every waking moment fighting
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that battle on my own. I mean, anyone who's been on a
4:23
diet or had struggles with their weight, we know the incredible
4:27
intensity and focus it takes to get somewhere to stay there.
4:32
And then the minute you take your eye off the ball, you end
4:34
up right back where you started. And so semi Glutad was presented
4:37
as a, as a solution to that. Well, it was and it wasn't.
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And that is true for millions of people right now because, you
4:47
know, it was because it did what it was intended to do.
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It did make my appetite much lower.
4:54
It did solve the food noise problem.
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In fact, it, you know, created almost at high doses, which
4:59
we'll address soon, I'm sure, almost a food aversion.
5:03
So staying at a calorie deficit was effortless for the first
5:06
time in my life. But I had tons of side effects.
5:11
I developed severe gastrointestinal issues, you
5:14
know, didn't really feel good at all after the first 3-4 weeks of
5:19
therapy and three months later got on the scale.
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I had lost 30 lbs, which was fantastic.
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I'd been trying off and on to lose that 30 lbs for a long time
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and not succeeding particularly well.
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But I got on a body scanner and got my advanced body composition
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metrics and was absolutely horrified.
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You know, I'd lost 2 to one lean mass to fat mass.
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My body fat percentage had barely changed, which, you know,
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for someone who has spent their whole life in the fitness
5:49
industry is just a catastrophic outcome.
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Like, that's not the point. Nobody sets out to lose 30 lbs,
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to be the same body fat percentage and to have lost, you
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know, 2 out of 3 lbs of muscle mass.
6:01
OK. But.
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But I could see the promise of these medicines.
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I could see how there was something to them that was so
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powerful that we've all been so desperately needing in this
6:13
Western, you know, world of our food supply and, and all the,
6:16
the environment we live in. But the way it was applied to
6:19
me, the way it was dosed, the way I was prescribed, it did not
6:23
have an ideal outcome. And an easy way to say it is it
6:25
didn't reach its potential. It's like this is something,
6:29
something really important, but this isn't where this needs to
6:34
take us as a population. We don't want to end up, you
6:37
know, 30% lighter and 30% weaker, OK, and at the same body
6:43
fat percentage. So I, you know, had my own
6:47
process of evaluating, investigating how can we
6:53
maximize the outcomes of these very special medications?
6:58
How do we minimize the side effects, maximize the benefits?
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And I stumbled upon something that I think is, is really
7:05
important, which is basically dosing them with precision based
7:11
not on a fixed weekly dose, but finding these particular dose
7:16
and in more precisely the particular medication level that
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is ideal for each person. And you know, that's easy to
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say. Turns out it's actually quite
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hard to do because of the pharmacokinetics of these
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medicines and how the doses stack on each other.
7:33
There's a lot of really complex math involved in finding out
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that, right? Perfect.
7:38
It affect therapeutic level for GLP ones, but it can be done.
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And you know, I built an application to to automate that
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process. We'll talk about that later.
7:48
But I started my clinic, you know, coming back around full
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circle to validate this model that I had innovative of.
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Is it possible to dose these medicines in a way that is
8:00
precise, that is individualized, that minimize side effects and
8:04
maximizes outcomes? I started by clinic to see if
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that could be done on a clinic wide and then population wide
8:12
basis and I'm happy to report that it actually can.
8:16
You know our outcomes in our clinic which we just ran our
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first little study in a retrospective on our outcomes
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have been spectacular. And I don't say that as a credit
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to myself, I say that as a credit to this method of dosing
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and actually taking care of an individual patient realizing
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that it is not one-size-fits-all for these therapies or what are
8:38
the top line outcomes. You know our patients lose
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weight faster than the trials on half the medicine and with 0
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desistance rate due to side effects, which is absolutely
8:52
huge. I mean, that is the red light
8:55
flashing siren in the world right now with GLP ones is we
8:58
can't just we just can't keep people on them.
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You know, 50, you know, 50, sixty 70% assistance rates due
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to either side effects or cost or both.
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And of course those two are related because the higher your
9:11
dose, the more medicine you take, the more expensive it is
9:15
and the more the risk of side effects.
9:17
So if you can crack that code of how do we have the lowest
9:22
effective dose and not a milligram more on a population
9:28
wide basis, then we can get somewhere we can maximize the
9:32
incredible benefit of these medicines and keep people on
9:35
them that need to be on them and hopefully successfully taper off
9:38
people that don't need them anymore.
9:39
But that also takes precision. You know, stopping cold Turkey
9:43
at a super high dose is an absolute guarantee weight
9:47
rebound of being right back where you started or even worse
9:51
off if you've lost the muscle mass and, you know, had a bad
9:54
outcome. So that's kind of where I come.
9:57
From my perspective, my obsession is how do we optimize
10:01
these therapies with precision to make them really work and
10:05
reach their potential. This episode is brought to you
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11:01
founders.co. Now back to the show.
11:04
Incredible. So it's, it's really the tip of
11:07
the spear largely on personalized dosage tracking and
11:12
medications. And I'll tell you why I'm always
11:15
so excited to talk to you because anecdotally, you know,
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what's always been important to me is human flourishing.
11:21
And ultimately, like, I feel like, you know, I was never
11:24
really attracted to the, the medical industry because it's
11:27
like, I don't want to go to the doctor and get a physical, like
11:29
I'm good. So where I invested my time was
11:31
like personal training, gyms, nutritionists, acupuncture,
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massage, cupping. I like the singing bowls there.
11:41
There's all these kind of alternative therapies that I
11:43
always like because it's for it's treatments for the well,
11:47
you know, So of course, if people have some kind of chronic
11:50
pathology, it's like, you know, GOP ones or hormone optimization
11:55
or the new a frontier of peptides, it's like, yes, treat
11:58
that. That's the baseline.
12:00
Like let's get you back to the baseline.
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And I feel like I've been fortunate enough to really kind
12:04
of be in good shape my entire life.
12:06
And, you know, my baseline has always been maintained, but I
12:09
want to push the border of like, how good can I get?
12:12
How good can I feel? You know, And largely this
12:16
domain, I think by Western medicine was seen as like, well,
12:19
we can't really treat that because without a diagnosis,
12:21
then the what is there to treat? But we're kind of getting beyond
12:23
that now. So we have the promise of
12:26
therapies now that not only are like going to like have
12:29
treatments for, you know, our chronic illnesses, but also it's
12:33
going to inspire people to take a step further and to kind of
12:36
build a bridge to the audience. You know, we're talking about
12:39
this before we hit record that, you know, fitness has always
12:42
been very important to the leaders that we admire.
12:45
And maybe the last 20 or 30 years in kind of startups or
12:49
business or entrepreneurship, we always look to the smartest guy
12:52
in the room, you know, and now intelligence is free for
12:58
everybody. And over the last couple of
13:00
months, I've noticed like, well, AI is definitely smarter than
13:04
me. I mean, I knew it knew more than
13:06
me for sure. But now the cognitive power is
13:08
getting to the point where probably it's smarter than any
13:10
human on earth. And this is just the beginning.
13:13
So kind of where does that leave us as founders?
13:15
You know, if our status in the in the tribe is dependent on
13:18
fitness and prior it was some kind of intellectual fitness,
13:21
now more than ever, it's going to be actual our physical
13:25
fitness. This is something that Hollywood
13:27
has known forever. This is something that fashion
13:29
has known forever. You know, that like actually, we
13:32
admire people that are super fit, you know, so you see that
13:36
now you, you look at the transformation of Zuckerberg,
13:38
you know, he shredded. You look at the transformation
13:41
of Bezos, he shredded Elon is still a giant white whale, but
13:48
you know, that's Elon. But the, the point is, it's
13:50
like, where are people spending their, their time and attention?
13:53
Of course, it's within their meat bodies, you know, because
13:56
not only do you, do you feel better, you can perform better,
13:59
but also from a leadership perspective, people look up and
14:02
admire those kind of people. So I, I think this, this, you
14:07
know, the clinic that you're you, you're working with and the
14:09
technology you're providing is going to provide a huge value
14:13
for leadership across the board. Well, so, so here's what came to
14:17
mind when you said that, you know, being fit used to be a
14:24
real accomplishment. OK, It took, you know, I always
14:29
say that there's two groups in the world and this is obviously
14:32
flattening it beyond what's what's truly accurate.
14:34
But generally speaking, there's two groups in the world.
14:37
There's the 75% of the country that is overweight or obese
14:42
because they're busy doing other stuff that's more important to
14:45
them. And pizza is delicious.
14:48
And, and pizza is delicious and enjoying food is a valuable
14:50
thing, like eating enjoyable food, enjoying vacations,
14:54
enjoying, you know, fellowship is a really critical part of
14:57
human flourishing. OK, so that's not necessarily,
15:00
you know it, it's ideally you have both, right?
15:06
But turns out before some of these therapies that that lower
15:09
the barrier to entry in our Western world with our poor diet
15:13
and our poor habits and our poor sleep and the, you know,
15:15
structures our society has set up, it's extraordinarily
15:19
difficult to be fit. OK, So then you have the 20% or
15:24
15% that aren't overweight or obese.
15:26
And many of those people, and this is what where I put myself
15:28
in this category for most of my life, have sacrificed everything
15:33
to achieve that. OK, You spend 24 hours a day
15:36
thinking about what you're eating.
15:38
You spend hours a day, a week meal prepping your meals.
15:41
You spend 3 hours a day burning off that extra, you know,
15:44
doughnuts you happen to eat because you fell off the wagon
15:47
for a day and you're not willing to let that pack on.
15:49
You don't go on vacations because there's too much food in
15:52
temptation. You stop going to social events
15:54
because there's going to be pizza and M and Ms. there.
15:56
And it's really hard to say no when you're in a calorie
15:58
deficit, right? So you end up sacrificing the
16:01
good on this side in the pursuit of a greater good, or at least
16:06
an equal good in your mind on this side.
16:08
Well, I would very strongly posit that neither of those are
16:13
acceptable. You have to find a way to be
16:17
balanced, to enjoy life, to be able to have that meal when it's
16:21
a special occasion and not have it, you know, stack up and, and,
16:26
you know, ruin your health, but also be able to, you do that
16:31
every now and again and, you know, and still be fit.
16:34
OK. And we we have to find a way to
16:36
not have to choose. And, you know, that's what these
16:39
therapies offer is it lowers the barrier to entry, both in terms
16:44
of, you know, how hard it is to do, you know, adjusting your set
16:48
point where your body is driving you to a healthier place.
16:51
That's a lot of the things that these peptide therapies do.
16:53
And on the, the AI intelligence side, you're having resource,
16:57
you know, access to unbelievable resources at the click of a, a
17:00
finger. There were you don't have to
17:01
pay, you know, $200.00 an hour for top tier personal trainer to
17:06
get access to the knowledge to the way to do that.
17:09
OK, You know, that's where I, I truly believe that, you know,
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you go back 100 years, for example, what did people before
17:17
the industrial revolution, before the industrial food
17:19
supply, before the, the modern world existed.
17:21
OK, well, what did that look like?
17:24
People spent a huge amounts of their day doing physical labor,
17:28
expending enormous amounts of calories to do work, much of it
17:33
to actually grow, prepare, catch, you know, make your food.
17:37
And then it made sense to eat when you were hungry because you
17:41
were in a calorie deficit because of all the freaking work
17:44
you were doing all day and you were just replenishing what your
17:47
body needed. You didn't have processed food
17:50
supply, so you ate real food in the amounts that your body
17:53
needed. And, and the heck yeah, you
17:55
needed it because you got to get up at 5:00 the next morning
17:58
until it feels the next day. OK.
18:00
The average weight of the American male in 19/20 was 165
18:04
lbs. Like being overweight or obese
18:07
was an anomaly. And you know, type 2 diabetes
18:10
did not exist as a condition. Well, in 100 years, literally
18:15
100 years, that environment has completely changed.
18:18
We don't have to move, We don't have to expend any energy
18:22
whatsoever in our daily activities to get through the
18:24
day. And when you reach for food,
18:26
it's easier and it's more accessible to grab something
18:29
processed, energy dense, hyper palatable.
18:32
And you know, that environment where you, you know, food is
18:36
omnipresent and you don't have to work for it is of course a
18:40
setup for a population being overweight or obese.
18:44
Well, we that that is that ship has sailed.
18:46
We're never going back to the pre industrial age.
18:49
So we have to find a way to exist in the modern world where
18:53
you don't have to mortgage your whole life in the pursuit of
18:56
fitness so that you can achieve that holistic human flourishing.
19:01
And that's the promise of these medicines is they, they make
19:03
that possible for anyone. GOP ones make arriving at a
19:06
healthy weight possible for literally anyone, with few
19:10
exceptions. Peptide therapies to adjust your
19:13
set point for muscle mass and for your, you know, to, you
19:15
know, help optimize your metabolism, optimize your
19:17
hormones. Incredibly powerful, effective
19:20
therapies. But what is the barrier now?
19:23
Its cost, its access, and its specific knowledge of how much
19:29
of this powerful compound do I take to get the outcome I want
19:33
without tipping over into side effects, right?
19:36
And that, that is the slice where I'm living right now, is
19:40
OK, We have all of this access to things that democratize the
19:45
pursuit of fitness and health, but how can we do it and get
19:49
where we want to go without harming ourselves?
19:51
How can we lose that 30 lbs and have it be 25 of fat and five of
19:56
lean mats? Not the other way around, right?
19:59
Well. You know, there's a lot of
20:01
specific answers to that, but that's that's my specific area
20:04
of interest is making these therapies actionable for
20:07
everyone. Incredible.
20:09
You know, and I, I love that idea of the cultural relevance
20:13
of why it's challenging to live in calorie surplus everywhere.
20:17
It's cheese danishes everywhere, you know, But if you go way
20:20
back, and I mean way back, there is evolutionary incentives to
20:24
eat all the possible food you can.
20:26
So when we were just scurrying lizards and we had that lizard
20:31
brain, everything was telling us eat as much as you possibly can
20:33
whenever you have you ever have the opportunity because you get
20:36
to reproduce. Now we evolved a little bit, you
20:39
know, and have like not only the lizard brain that we still share
20:42
with the lizard that's very loud, but we have the cerebral
20:45
cortex. So let's say like we became
20:46
mammals and we learned that there's also evolutionary
20:49
incentives to share a little bit of that food with your partner,
20:52
with your buddies and with your kids.
20:54
Like I want to make sure that I can do all these things.
20:56
So we kind of picked up those attributes, you know, but we
20:59
still have the lizard brain in US that's like, let's eat
21:03
everything we can whenever we can.
21:05
And there's this famous experiment.
21:06
It's a great video from the 50s. And there's a couple of kids and
21:10
they put them in a room and they put two marshmallows on the
21:13
table. They're like, OK, if you can
21:14
wait 60 seconds, I'll, I'm going to leave the room.
21:17
If you can wait 60 seconds, I'll give you 2 more marshmallows.
21:21
And so they leave the room and you see these kids just like
21:24
eyeballing these marshmallows, just like losing their mind
21:27
trying to wrestle between lizard brain and cerebral cortex of
21:30
like, if I wait, I can have more.
21:32
And they're like, no, every single kid ate both marshmallows
21:35
because that lizard brain is still in US.
21:38
So, you know, we're go ahead, please.
21:40
No, I was just going to say, you know, we severely overestimate
21:45
the power of our frontal cortex and severely underestimate the
21:49
power of that quote UN quote lizard brain.
21:52
Physiologic drives are inevitable.
21:55
Eventually you can control them for a while, you can push back
21:59
on them for a while, but they typically in the end went out
22:04
because they are a biological imperative.
22:06
OK, Now that imperative can be perverted.
22:09
It can be applied in a way in an environment where it's not
22:11
designed to handle the, the, the things that are around it.
22:14
And so it's it's not controlled or it's not beneficial.
22:17
But, you know, something I frequently describe to patients
22:21
is look, you know, appetite, if it is uncontrolled, if you have
22:25
a a very heightened physiologic drive to eat, which is
22:28
omnipresent in our culture. And it's because of lots of
22:31
things. But if you have that, you know,
22:34
trainers will say, yeah, just, you know, just don't eat.
22:39
You know, just have willpower, have self-control, you know,
22:42
fill up on, you know, things with bulk and just, you know,
22:45
well, it doesn't work OK, because that physiologic Dr. is
22:49
present. It's just like, it's just like
22:50
saying to someone don't go to sleep.
22:52
Well, it it's actually really analogous to dieting.
22:56
Don't go to sleep. Well, I can stay up all night
22:57
for a night just like you can diet from Monday to Tuesday.
23:01
Well, Tuesday to Wednesday, it's really hard.
23:04
You're blasting the music, you're slapping your cheeks.
23:06
You got the windows down in the car and cold air blasting.
23:08
You're doing everything you can, right.
23:10
Well, day three, you're going to be falling asleep standing up,
23:12
OK? That drive will increase in
23:14
intensity until it becomes an inevitability.
23:17
That is true, statistically speaking, with diet and
23:20
appetite. OK.
23:21
You have to solve the appetite problem, OK?
23:24
And you know, you don't have to go back a million years to
23:26
lizards. You go back 100 or 200 years,
23:29
OK? We didn't have easy access to
23:31
food all the time. We were perfectly adapted to an
23:35
environment where you get food occasionally.
23:37
And when you do, yeah, you eat that stuff up to store it away
23:40
for a rainy day because that rainy day is like tomorrow, OK?
23:44
It used to be that, like, famine was common and you'd have a
23:47
whole summer where you didn't have access to significant
23:51
amounts of high calorie food. So it made perfect sense.
23:54
Dude, bears do this right now, right?
23:56
They stock up, you know, they store up.
23:58
They fatten up. And by the end of, you know,
24:01
that, you know, time when they've used up that they're not
24:04
fat anymore, they're lean and mean and hungry.
24:07
And it's time to do that again, right?
24:09
Well, humans are the same. And unfortunately, we live in an
24:11
environment where there's, you know, food everywhere all the
24:14
time, and we don't have to expend any energy for it.
24:16
So again, the point is we have to deal with the problem, OK?
24:21
The appetite problem is real. It has to be solved.
24:25
And this environment we're in is not changing or going away in
24:29
any meaningful way. So we have to find a way to
24:31
adapt, to live within it, to find that balance where we can
24:34
be healthy and flourishing in our lives.
24:37
And a precision application of these amazing therapies is the
24:41
way to get there. In conjunction, of course, with,
24:45
you know, great lifestyle advice, with a great exercise
24:48
routine, with focusing, you know, being free from dedicating
24:53
your life to solving the food quantity issue.
24:56
Now you can take some of that energy and focus on food
24:59
quality. Yes, make sure the food, your
25:01
quality, the food you do eat is high in nutrition, is natural,
25:05
is minimally processed, you know, preferably prepared
25:08
yourself. But you know, that's not reality
25:10
for most people. So we have to find a way to live
25:13
our lives in a way that that makes sense, that doesn't take,
25:17
you know, so much effort to get somewhere where you need to be.
25:22
I mean these these therapies make that possible, but only if
25:25
you apply them precisely. Yeah.
25:27
You know, it's, it's just interesting to see that like,
25:29
humans dealt with scarcity for so long and that's a terrible
25:33
problem, but you would get into absolute abundance and we find
25:36
out that that's not a big problem too.
25:38
But now, you know, through this incredible treatment, like we
25:42
can overcome that. So now it becomes on like, how
25:45
do I optimize the dose which you're working on as far as
25:48
like, you know, taking tabs on like how you feel, what, when do
25:52
you feel the best? What, what side effects are you
25:55
feeling? You know, because there's,
25:57
there's going to be gastrointestinal, you know,
26:00
issues potentially like you mentioned that you kind of
26:02
struggled with, but also aside from the medication, now that
26:06
you are kind of entering calorie deficit, you're not, you don't
26:09
have what they talk about food noise, which is another word for
26:12
appetite. Or is it different?
26:14
I'd love to know that. But also now the decisions
26:16
you're making on what you can eat are really important.
26:20
You know, so I've, I've had a lot of buddies that were vegans
26:23
and I'm like, bro, it's not healthy for you if you're just
26:26
eating potato chips all day long, Sure, you're vegan,
26:29
congratulations. But like, you know, the
26:31
decisions you're making becomes important.
26:33
So when you're inviting clients, you know, you're, you're
26:36
dropping beneath 1800. Maybe you're getting into 1600
26:39
calories a day. We're want to be kind of
26:41
supplementing. What kind of foods should they
26:43
really be considering eating during the day?
26:46
Yeah, so I'll answer that in in a few stages.
26:48
So first of all, you know, if if you have, you know, especially
26:53
if you use my tool for adjusting your medication dose.
26:56
But in general, these medicines can function like a dial where
26:59
you can kind of pick your deficit.
27:01
How hard are they going to turn down the food noise, you know,
27:06
is it to where you still get hungry but you you know, but
27:10
when you eat you get full fast? Well, I would say that's like
27:13
probably a sweet spot. OK.
27:16
Do you turn it up to where you don't have any desire to eat at
27:19
all, where it's painful to eat, where anytime you eat you feel
27:22
sick? Well, that's obviously not the
27:25
target. OK, so that the dose informs the
27:30
second because if you don't have the physiologic ability to
27:33
intake any food, it just becomes very difficult to get enough
27:38
nutrition. OK, so getting your dose right
27:40
to where you still have a drive to eat, you're not food averse,
27:43
but you get full fast, you still are able to get enough calories
27:46
in. Well, what do I mean by enough
27:47
calories? In my opinion, you know, we all
27:50
know the the simple equation, 3500 calorie deficit pound of
27:54
fat, you know, 500 to 750 calories a day of a deficit is
27:58
plenty. Anything more than that that
28:01
really edges toward excessive and puts you at risk for muscle
28:04
loss and for under nutrition. And so first of all, setting
28:08
those guardrails saying, look, you don't need to lose 4 lbs
28:11
this week. Losing a pound consistently over
28:14
time is way better. OK, So turning that appetite
28:19
drive down just a smidge, 500, seven, 150 calories, that's
28:24
perfect. OK, well, if you're there and
28:26
your body is driving you to eat that amount, then again, because
28:30
you don't have to think about the deficit, your body's doing
28:32
that on its own in concert with the medicine.
28:34
Then you just focus on the quality.
28:36
Well, this is how I describe it to my patients.
28:39
I think nutrition is just so unnecessarily overcomplicated
28:44
for most people. I try to make it as simple as
28:47
humanly possible. Protein first, preferably animal
28:52
protein, unless you have a an ethical, you know, decision
28:56
against eating meat. But animal protein is the
28:58
foundation, OK? You have to get enough protein
29:01
to sustain your muscle mass and to have a a functioning strong
29:04
physique, OK, That's number one. Once that is satisfied, OK.
29:09
And if I had to choose between that and any other, you know,
29:13
food group, I would say start with that first.
29:15
It's kind of the foundation. Well, after that is plants.
29:18
OK. What do I mean by plants?
29:20
Anything that grows out of the ground that is edible, that is
29:23
not a concentrated source of starch or carbohydrate energy.
29:28
OK, so grains don't count, You know, bread, potatoes, pasta,
29:32
that whole category that's, you know, an incredibly important
29:36
energy source when you need it, but it's very low in nutrition
29:39
compared to the amount of energy.
29:40
So fruits, nuts, legumes, those types of things are fantastic
29:47
for filling out the rest of your plate.
29:49
Well, animal protein, minimally processed and as many plants as
29:52
you can get for that meal. OK, if you have room and you're
29:57
still hungry, OK, have some carbohydrates.
30:00
It's fine. Preferably have those at a time
30:03
when you actually need them because all you're doing is
30:05
ingesting a lot of concentrated energy that needs somewhere to
30:08
go. And trust me, it's going to go
30:09
somewhere. It'll either go to fat storage
30:12
or it will go to fuel your activities.
30:14
So if you're about to, if you're about to run 6 miles, eat the
30:18
pasta, OK? It's it's going to good use.
30:21
There's nothing evil about carbohydrates.
30:23
They just serve a particular function that we don't really
30:25
need much in our world anymore because we don't exercise unless
30:28
we're in the gym, OK? There is a utility in eating the
30:31
carbs after the run. Sure.
30:34
You know, to, to as long as it's not to excess, you know, you
30:38
know, you have glycogen stores in your liver.
30:40
There's basically your body has a reserve of carbohydrates that
30:43
it it takes from. But it doesn't have to be a lot
30:45
because let's let's face it, unless you're running a
30:47
marathon, you're not depleting those stores significantly.
30:50
You know, if you burn 200 calories of, you know, energy in
30:54
a workout, you know, if you get 200 in advance, great.
30:58
You know, if you didn't have 200 at the end, no big deal.
31:03
But it's just matching the what the food does to the energy
31:07
cost. So, you know, animal protein in
31:09
plants, they have unbelievably important amounts of nutrition
31:12
and you don't have to spend a lot of your caloric allowance
31:15
for those things. Now here's the problem.
31:17
You know, when you have, when you're on a GOP1 and your
31:21
appetite is suppressed, if you start with the carbohydrates and
31:25
you fill up and your appetite Dr. is satisfied by that low
31:28
nutrition, high density food, you will never get to the plants
31:34
and the protein, you, you're not going to do it.
31:36
And people that have not been on the GOP one don't understand,
31:39
OK, It's almost analogous, you know, and I use this very
31:42
loosely because it's not the same, but it's similar, you
31:45
know, you know, a cancer patient where you're like, they're
31:48
losing weight rapidly and you say just eat.
31:51
They're like, I can't, I look at food and I feel sick.
31:56
I feel nauseous. I have an aversion to that.
31:58
I put it in my mouth and I can't swallow it.
32:00
OK, You don't want to be in that situation on a GL P1, but if
32:05
you're even close to that, OK. Or if that's a point that you
32:08
get to after you eat, you have to start with a protein.
32:11
You have to get to the plant 2nd and then the carbs third.
32:14
So, you know, if you follow those very simple rules, don't
32:18
overdose, get your protein in first, fill up on plants and eat
32:24
carbohydrates when you need them for exercise, you will do
32:27
freaking great. Like, it doesn't have to be any
32:29
more complicated than that. And you know, my patients are
32:32
very successful using that very basic metric because you don't
32:37
have to fight the appetite battle.
32:38
It's just like the quality of what you're eating.
32:41
Are you making every bite count? If that makes sense?
32:44
I love it. And let's get a little bit more
32:46
specific because you're a doctor, you're an entrepreneur,
32:49
you're super jacked. Like what does your optimal day
32:52
look like for a workout? And then what are you eating
32:55
during the day, and when and what times?
32:58
Great question. SO it it it's funny.
33:02
I'll start with workouts. I am.
33:05
Start in the morning. Are you a first thing in the
33:07
morning workout guy? It depends.
33:09
That's actually my preference. Unfortunately, my gym spaces in
33:13
my home and it shares a wall with some of my young kids.
33:16
And so I tried that for about a year of trying to tiptoe around
33:20
the gym and not make any noise and I was lifting it, it just
33:23
didn't work very well. So I, I tend to work out mid
33:25
morning just kind of after the kids have have left for school.
33:29
I, I, I personally try to work out six days a week.
33:33
That is not necessary for most people by any stretch.
33:38
But to me, it's the only way to achieve both goals that I want
33:42
for my physique, which is I want focus strength training, which
33:46
is very different from hypertrophy training.
33:49
So I have three days that are longer workouts, much lower
33:53
intensity in terms of, you know, how many lifts or, or, you know,
33:56
things like that. But I focus on, you know,
33:59
traditional strength training, low, low reps, high weight,
34:04
never go into failure, just kind of training that upper end of
34:08
strength. And then that leaves the other
34:09
days to work on more traditional bodybuilding style hypertrophy
34:13
workouts. You know, I am so split in this.
34:19
I love to work out, but I can't do it on my own.
34:24
I just, it's, it's this weird thing like if I'm working out
34:27
with someone, it is the most fun activity I can imagine.
34:30
And if my workout partner doesn't show up, I won't do it
34:34
because there are other things that are more pressing.
34:36
So I personally need real accountability for that.
34:39
And so, you know, I have a trainer for three days out of
34:41
the week and I have my best friend that I've been working
34:43
out for a long time for the other three days.
34:45
And as long as that, you know, those pieces fit together, you
34:48
know, I try to fit in between four and six days per week, some
34:51
strength training, some hypertrophy training, and
34:53
usually about an hour each time, give or take.
34:57
That's kind of just what grounds me.
34:58
Like I feel so much better and the rest of my day if I get that
35:02
in. But you know, I just want to
35:05
make clear to anyone who's listening, you do not need to
35:07
work out six days a week to have a really great and strong
35:11
physique. I mean, each, each major muscle
35:13
group once per week is plenty. If you can hit them twice per
35:16
week, great. But you can do a, you know, your
35:18
secondary workout being a full body, just touching all those
35:22
muscles one more time and that's usually more than sufficient.
35:25
So I don't, I don't overdo the cardio.
35:27
I do 15 minutes of intervals a couple times a week on a good
35:30
week. And that's enough to maintain
35:32
cardiovascular health without kind of eating into my strength.
35:36
That's what all bodybuilders say. 15 minutes of cardio, we're
35:39
good to go. Yeah, but you know, a weight
35:42
training when you're doing it with with proper intensity is
35:45
cardiovascular exercise to to an extent A. 100% Tell me about
35:48
your ideal day with with the fork and spoon.
35:52
Yeah. So my maintenance calories are
35:56
around 26127 hundred, sometimes a little bit more depending on
36:00
how much cardiovascular activity I do.
36:04
I have to say I am. Let's describe it this way.
36:09
There's a triangle in life and you only get 2, OK.
36:13
There's cost, there's convenience and there's quality,
36:17
OK. It's true in life, it's true in
36:19
business, true in food, OK. You can't have things that are
36:22
low cost and convenient and high quality that does not exist.
36:27
So I tell all of my patients and I tell myself too, you have to
36:29
choose, OK. And for the, the decision for
36:32
everyone, really, I have found comes down to the budget piece.
36:36
OK, if you can't afford convenient, high quality food,
36:41
you have to make it yourself. That's the, that's, that's the
36:44
answer. You have to, you can't, you, you
36:47
can't have convenience and high quality and not expend a lot of
36:50
money for it. OK, so for me, you know, better,
36:53
for worse. I, I have a, a, a decent enough
36:56
income that for me, my choice is convenience and quality.
37:01
So most of what I eat is, is meal prep, delivery services.
37:05
So my favorite is Snap Kitchen, but I use factory meals and a
37:07
lot of different things. They're my fridge is stacked up
37:10
with them. I have a very significant
37:12
variety of what those things are.
37:14
I try to have some, you know, in a perfect day, I'll have some
37:17
chicken, I'll have some red meat and I'll have some fish and all
37:20
of those have vegetables within them.
37:24
And then I top it off to make sure I hit my protein goals
37:26
with, you know, a couple premier protein shakes from Costco, you
37:29
know, added on to those are because those meal, you know,
37:34
delivery services all include vegetables.
37:36
I don't really have to add too many Vegas on top of that.
37:38
I certainly eat a lot of fruit. I eat a lot of yogurt, things
37:40
that are kind of easy to grab because they are convenient.
37:43
And somewhere around 20 seven 2800 calories, 200 grams of
37:47
protein. I don't really count the carbs.
37:50
I just make sure that I get the the protein implants in and just
37:54
eat enough to maintain my weight.
37:55
So that's probably not a very satisfying answer because
37:59
unfortunately it's that or I take the time to, to make my own
38:04
and I just don't have the time. So now, but, but I, I try to
38:09
encourage people to be realistic.
38:11
I think people have this pipe dream that somehow you can find
38:15
a way to get convenient, cheap, high quality food and it's not
38:20
possible. So you have to choose, you know,
38:23
am I going to pay a lot of money and have someone do the work or
38:25
am I going to get it for cheap from the store, from Costco?
38:28
But then you got to make it yourself.
38:30
I'm a sucker that pays a lot and cooks it, it gets the high
38:35
quality. There's no, no convenience
38:37
except once it's done. I am a big meal prepper and you
38:39
know, meal prepping, you know, the Sunday meal prep for the
38:42
family is one thing, but also like, if you do like spend you
38:45
like, I'll do like a, you know, if I'm, if I'm cooking rib eyes,
38:50
yeah, cook, throw an extra 1 on the, on the grill, you know, and
38:52
then you can eat that tomorrow kind of thing.
38:54
Amazing. And I've done all those
38:56
permutations throughout the years.
38:58
I think where a lot of people, the trap most people fall into
39:03
is they try to have convenience and cost and that results in low
39:07
quality. That's where you grab things and
39:10
you end up in a, with a diet where you're eating 70% of your
39:13
food out of wrappers or you know, that you can buy at the
39:15
convenience store. You know, I've seen these videos
39:17
on YouTube where people are like, Oh my gosh, groceries are
39:19
so expensive and they lay out what they ate, you know, or they
39:22
bought from the grocery store and none of it's food.
39:25
Like none of it. It's like, Oh my gosh, OK,
39:27
there's chips and there's, you know, noodle, you know, ready
39:31
packed noodles. And then there's, you know, XY
39:33
and Z processed food and you look at the whole pile and
39:35
you're like, well, there's not any food in that, you know, and
39:38
that's the trap. Like you can't have a healthy
39:42
physique with low cost and high convenience.
39:45
So it's either going to be inconvenient and expensive, OK,
39:50
or no, sorry, convenient or inexpensive, or it's going to be
39:53
inconvenient and it's and it can be cheap.
39:55
But, you know, coming to terms that reality I think is
39:57
important for people because it's just not possible to have
40:00
all three. Totally love it.
40:02
OK, give me the download on peptides.
40:04
Peptides right now seem to be like this miracle drug, but it's
40:08
all kind of shrouded in mystery. So what are peptides and what
40:12
are some of the applications people can expect coming down
40:14
the pipe? Yeah.
40:15
So, you know, peptides, it's it's such a funny conversation.
40:18
And I myself was very ignorant to this whole area of medicine,
40:24
even as, you know, five years ago when I was working in the
40:26
ER, you know, I didn't know anything about peptides and I
40:29
didn't any doctors that I worked with.
40:31
And it was just kind of something that Jim Bros talked
40:33
about. OK, well, you know, and people
40:37
would ask me, hey, what do you think about peptides?
40:39
And I would kind of like just throw the baby out with the
40:41
bathwater and say, well, you know, I think they're just kind
40:43
of like not ready for prime time.
40:44
We don't have a lot of human studies.
40:45
We don't know what they do. So I'm not really comfortable
40:47
kind of just wading into that space or really, you know,
40:51
considering them as an option. OK, well that whole world view
40:56
fell apart after I took AGLP 1. And when I realized that GLP
41:02
ones are peptides and I knew and I could see how it amazingly
41:08
impactful and important they were.
41:10
And then I was doing research and I had the realization, which
41:12
again in hindsight, so I had to not realize this, but insulin is
41:15
a peptide, OK? Insulin was the first, you know,
41:18
first peptide synthesized stable enough in solution to use for
41:21
using humans. Well, once you go wait a minute.
41:23
So insulin incredibly important drug and GOP one's incredibly
41:28
important drugs are peptides. Then it forces you to be like
41:32
this is not a class discussion. This is not hey, peptides as a
41:36
class aren't useful. It's, but now I have to actually
41:39
consider each one because peptides, all peptide is, is a
41:43
method of transmitting information within the body.
41:46
It's a string of amino acids. It's a little bitty protein that
41:49
is like a very specific key that fits into a very specific lock
41:55
to transmit specific information in the body.
41:57
That's all a peptide is. Well, the reason peptides are
42:02
somewhat novel has nothing to do with whether they're effective
42:05
or not. It has to do with just basic
42:07
pharmacology. It's really hard to keep them
42:09
stable in solution long enough to actually keep them in a vial
42:14
to administer to people because if you synthesize A peptide, but
42:17
it dissolves within 30 seconds, you can run a trial on that, but
42:22
you can't treat anyone in real life.
42:24
Well, in the past 20 years, pharmacology has advanced to the
42:26
point where they can keep these things in solution for weeks or
42:28
even months at a time. And now all of a sudden that
42:31
class of therapeutics is available to for for people to
42:35
use. Well, it turns out it's actually
42:40
probably the most important way that the body communicates
42:43
information. And if you can enter that
42:46
pathway, you can do a lot of amazing things because that's
42:49
how your body is naturally functioning.
42:52
And now you're saying I'm going to, you know, put a little bit
42:54
more of that, a little stronger signal in that physiologic
42:57
pathway to make a difference there.
42:59
And, you know, the field of peptides has exploded and
43:03
everyday there's another peptide out there people are talking
43:05
about and the challenges that field is moving so fast, it's
43:08
very difficult to get a robust data set of actual evidence to
43:14
support it. And you know, this is just the
43:16
reality of big pharma for those big giant studies that cost
43:21
millions and millions of potentially billions of dollars
43:23
to, to, to make happen, it has to be a patentable molecule.
43:29
A lot of these peptides aren't patentable.
43:31
So there's no commercial incentive to get those studies
43:35
done. That's actually where I hope to
43:38
inject myself into this process is because our app is designed
43:43
not just for GOP one administration, but basically a
43:46
way to standardize and track and get data from people that are
43:50
taking their own regimens on their own time and collecting
43:54
data, collecting real time, you know, symptoms, progress,
43:58
biometrics, all of those things is almost like a telemetry
44:01
system for, you know, optimization medicine.
44:04
And hopefully if we get in the hands of enough people, we can
44:07
get a robust enough data set And hopefully even in some IRB, you
44:10
know, fully fledged sanctioned studies to really get the data
44:14
set, we need to bring these things out of the quote UN quote
44:17
shadows and make them big boy medicines.
44:20
You know, because that's what I always say is like, OK, so GLP
44:23
ones, they now have a, you know, several New England Journal
44:27
medicine studies. Well, they're not peptides
44:28
anymore. They graduated, they're big boy
44:30
medicines. OK, insulin, big one medicine.
44:33
Well, peptides as a class, there are some big boy medicines in
44:37
there. I guarantee you that.
44:38
We just need to figure out which ones they are and which ones
44:41
really are a good thought. Interesting, but just don't
44:44
work. And so that's where the field is
44:46
right now. It it's depressing that our
44:48
system is so financially motivated that these therapies
44:52
that could be absolute game changers aren't incentivized
44:54
because you can't make a buck off it.
44:56
But I won't go there. What should people be worried or
45:01
concerned about? Peptides.
45:02
Is there any kind of risk associated with them?
45:04
Yeah. Well, it depends which peptide
45:08
right? All all interventions have risk.
45:12
So I would say as a class of medicines, peptides because they
45:16
work within bodies natural pathways, how your body
45:18
naturally transmits information. It's not a chemical key fitting
45:22
into a biological lock it wasn't intended for like some small
45:25
molecule medicines are. As a class they tend to be very
45:29
safe because those very specific keys only fit into one lock.
45:34
OK, side effects many times come from like from chemical
45:38
medicines, something binding to something it wasn't intended to
45:43
OK and having an untoward or undesirable effect.
45:46
With peptides, they only bind to one thing, so it's somewhat
45:49
predictable what their side effect profile might be.
45:53
OK, the GLP one drugs bind to the GLP one receptor.
45:56
Well, what does that receptor do?
45:59
It suppresses appetite and it slows gastric empty.
46:02
So what is the side effect profile?
46:04
If you overdo it, your stomach stops working and you stop
46:08
eating. OK.
46:09
That's a predictable effect. Just like insulin, it does one
46:13
thing. It takes sugar from outside the
46:15
cell into the cell. If you overdose on insulin, what
46:18
happens? Your blood sugar gets too low.
46:22
It's very predictable. So there's not, there's not a
46:25
lot of surprising or out of that physiologic pathway side effects
46:33
with peptides. So if you understand the pathway
46:35
and you understand what it does, then you have a good sense on
46:38
the safety profile, which is helpful.
46:41
Now, in general, this is my caution for peptides.
46:44
Don't take peptides if you don't have a problem you're trying to
46:47
solve, OK, There is some degree of risk and it is indeterminate
46:53
for a lot of them. So, you know, only try a peptide
46:56
if there's something wrong that you're trying to fix.
46:59
Don't biohack just for the sake of the privilege of trying this
47:02
or that. It's like.
47:03
What if you have the problem is I don't look as good as I want
47:06
to look? Is that a problem?
47:07
Is that a legitimate problem? It is, it is.
47:11
And, and the reason for that is because people that look good
47:15
are generally healthier. What does it mean to look good?
47:19
Well, you know, you, you, you brought an evolution before we
47:22
were evolutionarily driven to perceive health as attractive.
47:27
OK. And I'll actually give you a
47:29
great example I've been thinking about the last couple weeks
47:31
because I saw a study on it, you know, ripped bodybuilders that
47:34
are two 3% body fat. OK, sure, they're attracted to
47:38
each other and they're attracted in the mirror to themselves.
47:40
But as on a population level, most females do not find ripped
47:45
to pieces bodybuilders attractive as a class.
47:48
That's been demonstrated many times.
47:49
And if you're a Jim bro, you know exactly what I'm talking
47:51
about. OK, they go, EW, gross.
47:54
All right, Well, there was a study that basically anonymized
47:58
all these physiques and combined them into basically a
48:00
prototypical physique at like 5-10.
48:03
Fifteen, 2025%, 15% body fat was by far the leader for most
48:09
attractive. Well, what does 15% body fat
48:13
mean? It means you're strong, you're
48:16
capable, and you're not carrying so much excess weight that you
48:19
can't do important things. You may not have a visible
48:22
ripped 6 pack, but you sure have a six pack under there and
48:26
you're capable to use it. OK.
48:28
You can tie your shoes. Exactly right.
48:30
So function typically equals attractiveness.
48:35
OK? That's how we're wired.
48:37
And, and I use that to encourage people to say don't shoot for 6
48:40
to 8% body fat all the time. It's not actually optimal.
48:45
OK, shoot for health. Well, health is usually in that
48:49
10 to, you know, 1516% ratio where you're strong, but you
48:54
have enough reserve if something happens, like for example, if a
48:58
bodybuilder that's 3% body fat gets sick, what reserve do they
49:01
have to pull from to get through that illness?
49:05
They don't have any fat reserves, so they have to pull
49:07
it for muscle. OK, well, that's not functional.
49:10
OK. So I say that to say yes, being
49:14
attractive or looking good is a valuable goal in so far as it as
49:18
it relates to health. Yeah.
49:20
OK. That's what I try to have all my
49:22
patients go. If you're healthy, you're going
49:24
to look good. Don't use aesthetics as the
49:26
driver. Focus on health.
49:29
Focus on physiologic optimization and you will look
49:32
great. Absolutely.
49:34
And we are tribal creatures and like kind of we were talking
49:37
about before, status in the tribe is important and health
49:41
and physics, fitness, physiological, you know, fitness
49:45
is an important status marker, you know, in any kind of tribal
49:48
situation. The problem is our our culture
49:51
has really perverted what actual health looks like.
49:59
OK, when you get an Instagram and you see, you know, these
50:01
physiques that have nothing in common with what is actually
50:05
naturally humanly possible, and you start to associate that with
50:09
normal and that being the goal. It's just so unhealthy mentally
50:17
because you know you're shooting for something that you cannot
50:19
possibly achieve no matter what. Even if you're the healthiest
50:22
person in the world and did everything right, you still
50:25
couldn't look like that. Well, that's when you have to
50:28
use chemical performance and hence intestine drugs to get
50:31
there. I would say let's use those, you
50:35
know, agents, you know, safely to get to a place of optimal
50:39
health, not some ideal that has nothing in common with real
50:43
health. So I don't know if that makes
50:45
sense, but I think, you know, peptides can can help
50:47
tremendously be getting there in terms of specifics, you know,
50:51
you, you said, well, I want to look good.
50:52
Well, what does that mean? A low body fat percentage or at
50:54
least an average body fat percentage.
50:57
That's GOP ones all day. That's a peptide.
50:59
Maintaining your muscle mass well, HGH secreted gogs like
51:03
Tesla, Merlin, like CJC 1295, you know, that whole class of
51:05
medicines is incredibly effective, are effective at
51:09
preventing muscle loss during the weight loss period,
51:12
optimizing your hormones. Testosterone in males,
51:15
incredibly important hormone. It does real important work.
51:18
And if your testosterone is suboptimal, it's like, you know,
51:21
running a Porsche on, you know, 2 stroke engine gas, it might
51:27
move, but it's going to smoke, it's going to rattle.
51:29
It's not going to, you know, move when you push the
51:31
accelerator. Well, so, you know, getting your
51:33
testosterone optimized is like kind of running on the octane of
51:36
gas. You're supposed to be it.
51:37
It allows you to reach your potential.
51:40
So yeah, these therapies are incredibly important.
51:43
They are so effective, but they have to be done well and right
51:47
in the right doses and applied to the right person.
51:50
And that's where you need a combination Smart providers, you
51:54
know, affordable access to the therapies and, you know, a means
52:00
of prescribing those things in a way that patients can
52:02
understand. Incredible.
52:05
Couple more questions before I let you get out of here and
52:08
maybe just a statement. 1st that the irony, you know that we're
52:11
talking about our evolutionary lizard brain as being a 'cause
52:16
it just makes us want to eat everything.
52:17
But ironically it was the receptors of the HeLa monster
52:22
venom that inspired GLP ones in the 1st place.
52:25
So sometimes the illness is the cure, you know what I mean?
52:28
Yeah. Absolutely.
52:30
Quick question for you, what snack do you absolutely prevent
52:36
from entering your house? Because no dose of GLP ones
52:39
could actually hold you back from devouring the whole thing.
52:43
Oh man, well my favorite candy by far is an old man candy.
52:47
It's almond Joy's when I go to when I go to Home Depot, when
52:51
I'm doing a project. I learned this from my dad, you
52:54
know, thanks dad. I get one of those every single
52:57
time I go and I just tell myself I'm about to go do some work and
53:00
nail some boards together. You know, this is something I
53:03
should have, but in general, I'm more of a salty guy.
53:10
So, you know, a good slice of New York style pizza man.
53:14
If I, if I have one, it's, it's pretty hard to put it down.
53:18
But, but I will say this GOP ones are so effective because
53:24
even that most delicious thing, like when I started the GOP 1,
53:27
you know, I remember I was there was like a chocolate chip cookie
53:29
that had just come out of the oven and it was like, you know,
53:31
chocolate melting and dripping down on the pan.
53:33
And just like that most amazing delicious thing that I would
53:37
have had like 10 of And I had two bites and I was like, man,
53:41
that was good. But I just don't want to eat
53:43
anymore and I put it down and I went on with my day.
53:46
And to me that is the that is the perfect target is to say
53:51
don't have foods that you can't ever eat.
53:54
Have a a physiologic structure and balance to where you can
53:58
have a few bites. Really enjoy it like savor
54:02
every, you know, every molecule and then put it down and go on
54:05
with your day and expend energy not in trying not to eat the
54:09
rest, but in doing something else that's way more important,
54:11
like spending time with your kids, like, you know, being
54:14
productive at work, going on a vacation, whatever it might be.
54:17
You know, don't expend all of your energy trying to not eat
54:21
because that's it's such a, a dead end for human flourishing.
54:25
You know there's more to life than just that.
54:29
Amazing, ladies and gentlemen, you can go check out voafit.com,
54:32
that's VOA, fit.com and work with Doctor Ellis's team.
54:38
If you're already on GLP ones, he has a patent app called my
54:43
level that helps you find that optimal range.
54:46
So if you're on GLP ones and you're struggling with side
54:48
effects, you're thinking about, you know, cashing in the chips,
54:51
don't do it. You know, go to voafit.com and
54:54
and see what precision dos dosaging is like because the the
54:58
future future of peptides is so bright.
55:00
And it really comes down to this personalization because you
55:03
know, ultimately it's not one-size-fits-all.
55:06
It's not like taking an aspirin, you know, you know, it's it's
55:09
different and it's anecdotal and it needs to be fit to you like a
55:12
pair of shoes. And my level is the tool to do
55:15
it. Ian, thank you so much for
55:17
coming on the show. What's the best place for people
55:20
to connect with you online? Yeah, so volvo.com is a great
55:23
place. It has all the links to connect
55:25
to me by all the other mechanisms either by phone, by
55:29
text. You don't have Facebook and
55:31
Instagram and you know LinkedIn and all the other accounts that
55:34
should be listed on there in the footer.
55:37
I will say this directly to any patient that's listening or
55:40
anyone who's on AGLP. One, if you are following the
55:42
standard dosing protocol, which starts at a low fixed dose and
55:46
escalates on a fixed schedule, you are almost certainly taking
55:51
more medicine than you need, experiencing more side effects
55:54
than you have to, and optimizing your dose will not result in
55:59
lower weight loss. It will result in better weight
56:03
loss over time. Because if you can keep your
56:06
dose to the minimum effective level, you can do the lifestyle
56:09
things necessary to make that medicine work for you.
56:11
Not get to the Max dose where you're a prisoner being on 15
56:14
milligrams of tirzepatide for the rest of your life, there's a
56:17
chance that you can taper off and be successful in the long
56:20
term. So absolutely, give me a call
56:22
and go to vovit.com. There's a big, you know, book
56:24
consultation button on there. Initial consultations are free.
56:28
I would love to talk to you or have you know, someone from my
56:30
team talk to you about optimizing your regimen, whether
56:33
it's GLP ones or hormones or peptides or all the above.
56:37
That's what we do and we absolutely love to do it.
56:40
Appreciate you and thank you so much.
56:43
All right. Sounds good, man.
56:44
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