Latest / Intellectual Medicine / Anti-Aging, Hormone Therapy & Longevity Explained | Dr. Julian Gershon

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Anti-Aging, Hormone Therapy & Longevity Explained | Dr. Julian Gershon · Intellectual Medicine

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Now, you and I know the aging is not required before death,
0:05
right? There's nothing about us
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biologically that compels us to age.
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We just need to figure out the missing pieces.
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It's like you said, building the hormones back in when they're
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missing. Everything that we do from
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understanding, you know, as the the phrase goes, optimal is not
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normal. You know, normal is not optimal.
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And so I tell people, if we do this right, all your labs are
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going to be in the abnormal range and your other physicians
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are going to freak out, but you're going to feel your best.
0:42
Hey everybody. I have with me an extra special
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guest, a colleague, A fellow osteopathic family physician,
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but more than that, Doctor Julian Gershon, who runs the
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Aspen Institute for Anti Aging and Regenerative Medicine.
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Real pioneer in the space. He's been at this longer than
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most people can remember. Triple board certified anti
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aging medicine, sports medicine specialist, concierge, family
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physician, an expert in an array of fields.
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And the reason we share things in common with fellow
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osteopathic family doctor, we're just talking about the the
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decision we both made to step out of the mainstream so that we
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could address issues that are not recognized by medicine,
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right. The aging itself is not a
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diagnosable entity, is it, Julian?
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You can't get a 99213 for that. So we had to move out of
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insurance reimbestal inside stuff.
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That's medical speak for coding. So I know you like me.
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I saw them crush primary care and to me it's become a churn,
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right? Just flipping people through.
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I like to tell my patients, you don't have health insurance, you
1:50
have sick insurance, so you've moved into a health space.
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Anti aging therapy. I thought it would be
1:57
interesting to kind of reflect a little bit on what does that
2:01
really mean anti aging? Are we extending lifespan?
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What's your philosophy in anti aging?
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And that's in that regard. Well, from my standpoint, you
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know, having spent most of my career in sports medicine at
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high school, collegiate Division One and Olympic levels, you
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know, I've always it's always been diet, exercise, motivated
2:24
to do the right thing, working. The nice part was with people,
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athletes that wanted to get better and and that's not always
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the case with the general public.
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But you know, as I became quote, an aging athlete at 50, which is
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now May 1st will be 23 years ago, I started to study, you
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know, anti aging and regenerative medicine.
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You know, some yo colleagues, buddies of mine, Bob Goldman and
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Ron Klass founded the American Academy of Anti Aging and
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Regenerative Medicine and I served on the board of the
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Osteopathic Academy of Sports Medicine with him for 10 years.
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And and still remember when I find out and I talk about it in
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my book is like, where's Bob? Well, he's doing some anti aging
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thing. And I literally quote he's lost
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his mind. And then that was IT892000
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rolled around. And as I turned 50, I'm like,
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you know, maybe this makes sense.
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And so I started to attend some of their huge conferences at
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that time. There are already thousands of
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physicians from all over the world attending.
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Now it's 10s of thousands. It's a massive exhibit, Paul,
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the size of three football fields, let's say.
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But for me, it made sense as a deal.
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You know, we've always looked out-of-the-box to find ways to
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treat the whole person. And in mainstream medicine, we
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just ignore the endocrine system, you know, thyroid.
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Unless your TSH is off, you're fine.
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Well, that's not the case. There's subclinical
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hypothyroidism and in hormone optimization, you know, involves
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and begins at a very early age. You know, I see men and women or
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women 1020 years before menopause that don't have enough
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testosterone or progesterone and are suffering in conventional
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medicine just says, well, you're in the normal range.
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I love what you just said. You know, Julian, it's and we'll
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go on first name since we're colleagues on optimization, you
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know, in in conventional medicine, it's normal, abnormal.
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But you and I know there's a range.
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And I love what you said about women in the perimenopausal
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window, conventionally speaking, right.
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I'm sure you've had this experience.
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A woman comes in tired, short tempered, a little irritable,
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not sleeping well, gaining some weight.
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The doctor thinks you must be depressed, puts them on Prozac
5:00
and it makes them anorgasmic and gain weight.
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Great remedy for depression, right?
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Fat and anorgasmic, you put them on hormones and it come, they
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come back to life. I think that we've really lost
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two generations of women because of of our irrational fear of
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hormones. Do you think that's going to
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change with the black box warning being modified?
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Slowly for sure, you know, and thanks to organizations that
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teach this to physicians, nurse practitioners, you know, my
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mentor for the last 20 years, Doctor Neil Rouzier, who's works
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with World Link Medical. I'm going to, you know, finish
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his final series before he retires just out of respect to
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him and because I always pick up something new, you know, it, it,
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that's what it's all about. You know, I saw a woman today,
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36 year old who I started seeing.
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We just did her annual physical one year ago.
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She was 170 lbs, miserable, didn't enjoy her physical
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intimacy with her husband. She's lost 40 lbs.
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She's now 135, she's 5/9, she feels great.
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She's almost not recognizable from her photos a year ago and
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all Everything is in the optimal range and.
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Nice job. It's just, it's so satisfying
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bringing these people all the way back.
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But this is where, you know, the the medical pathway fails people
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it, you know, I think part of the problem is they allow,
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accept and anticipate decay. So they'll look at a woman or a
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man of 55 and say, well, you're a little tired.
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You've lost your libido. That's normal for your age.
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That puts the the hair on the back of my head up what little I
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got because you ought not to ever accept decay.
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If you accept decay as inevitable, you eliminate the
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possibility of reversing it. Now, you and I know the aging is
7:02
not required before death, right?
7:04
There's nothing about us biologically that compels us to
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age. We just need to figure out the
7:08
missing pieces. It's like you said, building the
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hormones back in when they're missing, making sure the
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nutrition is excellent. I know you do IV nutrients, as
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do I. The I.
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I have to comment on the passing of Chuck Norris.
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It's a sad loss. You know, a fantastic athlete, a
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martial artist. But the reason I bring it up
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Julian, is because a week before he died, he was putting out a
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video of him boxing heavy bag. It's vertical living of
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horizontal lifespan, staying vital, vital, vital.
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Like you, my enlightenment, if you will, for anti aging.
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I was about 48 and I was feeling a little bit, you know, my age.
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I went to a doc Julian, and he said to me, I'll give you this
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stuff. It's going to make you feel like
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a, a Ferrari. And then he said you might die a
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little younger, but you'll feel great.
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And he was serious. And that's when I said, woah, I
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got it. I went to a four M did the
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fellowship like you. So talk about that a little bit
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because a lot of people are under this misimpression, right?
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You go on these hormones, they're going to give you
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cancer. You're going to get a heart
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attack. You're going to die young.
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Unfortunately, that is the belief system in conventional
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medicine because of the World Health Initiative study back in
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2001, which has now been reversed.
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The FDA has even not not only removed black box warnings on
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hormones, but has stated we were wrong for the last 20 years.
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Well, it's still going to take another 10 or 20 years for
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mainstream medicine to get it. But that's not true.
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Those studies were on synthetic hormones and a natural
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bioidentical hormones, Estradiol progesterone, not progestins
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made from horse's urine. Natural testosterone.
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The opposite is the case. They're cancer protective.
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Estradiol, progesterone and testosterone have beneficial
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cancer protective effects. Not, we believed, misinformed
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for the last 20 years, 20 no. Absolute imagine that 20 years
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of misinformation. In my practice if a woman gets
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diagnosed with breast cancer I put them on testosterone.
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It has been shown to be anti proliferative of of breast
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cancer. The traverse trial eliminated
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the fear of heart disease. That was always a misnomer.
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Testosterone will give you a heart disease.
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You mentioned the 20 year thing. And let me just compliment you
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on being a lifelong learner. I heard you say you always pick
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something up. It's good for that.
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That's pretty awesome. Hey, guys are out there.
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You know, we're talking about retirement and Julian's like me.
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We're going to, you know, dive with that boots on.
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But it's it's the spirit of perpetual learning.
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What are we doing? What are you doing now in your
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practice that you think conventional medicine is 20
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years behind? You know, 'cause you and I live
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in the next step. Yeah, everything that we do from
10:11
understanding, you know, as the the phrase goes, optimal is not
10:17
normal, you know, or normal is not optimal.
10:20
And so I tell people, if we do this right, all your labs are
10:24
going to be in the abnormal range and your other physicians
10:28
are going to freak out, but you're going to feel your best
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watching the upper right hand side of the bell curve, upper
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8090% of these specific levels, not in the middle or the 30th
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percentile. I see a guy that comes in with a
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testosterone of 400. I'm like, Oh, well, if, you
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know, normal or optimal at 20, something was up to 1000, You're
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in the 50th percentile. Is that how you run your
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business? And they get some every time?
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Well, of course not. You know, 'cause that's what
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they can afford to take care of themselves and be proactive.
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And it's, you know, really that's the difference in
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everything that we do. Addressing hormones first.
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I mean, I could go on well. I like what you said, you know
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that we have to warn our patients that your conventional
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docs are going to are going to flip out when they see the
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testosterone levels. Like I have done women's
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testosterone and hormone therapy for over a decade.
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They don't feel their best unless their testosterone levels
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are significantly above the high end of the range for the.
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Lab and. That's due to right ignorance.
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The medical system does not know.
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I saw one lab parameter, Julian, for women's testosterone that
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began at 0. It's mathematically impossible
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to be low in testosterone if you start at 0.
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That's just biologically implausible.
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So yeah, you go high and it's driven by their symptom
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response. You know, the idea that you're
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on too much testosterone. Well, what is that?
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It's the part that gives you adverse side effect as well as
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you feel. Good.
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And not only that, all that matters to me is the free
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testosterone. So to get a woman to two to four
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nanograms, it often has to be 2 to 300.
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And with their family doctors. Oh my God, your testosterone's,
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you know, 200. This is terrible.
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You know something? The sky is going to fall.
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We'll know it. You know, there for the lay
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people, for the lay people watching.
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We talked about black box a little while ago.
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That's the physician's desk reference.
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They'll put a black box warning, meaning super dangerous.
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They remove that from estrogen and testosterone.
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Well, actually it's still there for estrogen, for endometrial
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cancer if you don't balance it, but that's never an issue.
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What Julian's talking about is the difference between free and
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total testosterone, and all these hormones are bound to
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proteins. The part that's bound is not
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active. It can't do anything because
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it's locked up, but it gets measured.
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And as we get older, the amount of total bound hormone,
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testosterone in particular goes higher.
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The free is the stuff that does the heavy lifting, does the
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work. Doctor Julian knows that.
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So that's where the target is, and it's also on vitality.
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Let me ask this question though, because this comes up a younger
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man. Let me let me ask it this way.
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At what age do you feel attempts to stimulate the testicle with
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HCG or other direct like and clomiphene?
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What point is a man just too old to kind of RIP that testicle to
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make hormone? Well, you know, sometimes never,
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but you you never know. So that's a good point because I
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just saw in our osteopathic annual, you know, an e-mail from
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one of the journals the dangers of young men on testosterone.
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Well, it's a misleading article because not everybody's doing it
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that way. And what we do, when I see
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someone in their 30s, even 40s, I never give them testosterone
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first. You know, maybe it's 405 hundred
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or six with a very low free testosterone, 9 or 10.
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And I want the free testosterone for men to be in the 20s.
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I always start with clomiphene, human chorionic, and adatropin,
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and I'll do that occasionally with guys in their 50s.
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If it's let's say 600, the free is low, but it's still they have
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an OK total, but the free is low.
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Let's see if you respond. And if you do great, You don't
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have to take testosterone for another two years, five years,
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10, who knows. And so it's primarily under 50
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is the sort of my target for I want to try HCG and cloma
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feeding these guys first. If they don't respond and get
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into the upper limits of normal on free testosterone, then it's
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like, OK, we need to do something.
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For younger guys it works almost 90% of the time.
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There's a few where it doesn't, and who knows what the impact
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was earlier in life with drugs or whatever.
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The other thing that we're both seeing is younger and younger
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men with low T and I'm seeing a combination of low T, obesity,
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libido dysfunction, something's happening.
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I don't know if it's microplastics, heavy metals.
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All of the above. I have a lot of endocrine
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disruptors and it's in everything that we touch from
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cookware to water bottles to it's in the foods that we, I saw
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an article on Chobani yogurt the other day that they're putting
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an industrial lubricant in and you know that they're in a
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lawsuit because they advertise it as natural.
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Natural. What's natural about that?
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They're endocrine disruptors. You know, 20 years ago when I
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started doing this, my average patient was 55 and up The next
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decade, it was 40s. Now I have dozens of men in
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their 30s. One, there's more awareness, but
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they don't feel good. And it's like, we'll make low
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tea. We test them.
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And yeah, it is. And we need to get.
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Tired, they get chubby. And I also want to mention
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cannabis. I see this notion that cannabis
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is, is benign. I see young men who are just
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vaping their, their T levels are abominable and they feel the
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part. So the disruptors are
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everywhere. I like to tell my patients,
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look, it's not a matter of if, it's a matter of when you're
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going to need hormone replacement.
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You know, gonads are engineered to fade.
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I mean, we're engineered to grow to maturity, reproduce, and then
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die. So.
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So I, you know, I don't like that path.
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You know, we can change it. So the hormones are a definite
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in the, in the hierarchy of anti aging.
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They're on hormones, they're feeling good.
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Now comes like the next thing. And it's when the, the, the
17:21
pituitary starts to wobble. You know, the somatopause.
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You talk a little bit about somatopause and how you approach
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it. Well, I, I think still it's, I
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always look at pituitary hormones and we look at the
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hormone levels via estradiol, progesterone, testosterone,
17:39
human growth hormone, because sometimes there's just not the
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message. You know, our thermostat is your
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pituitary, it's looking out. Hey, I don't see enough
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estradiol in women. And so that follicle stimulating
17:54
hormone goes up. It doesn't always it's not
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always that way. I have one gal who's in her mid
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30s. Normally I never give younger
18:02
woman Esther Al. She came to me last year from
18:06
another provider and she had been on a little bit and I
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thought, you know, this, let's try without was.
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She rapidly felt terrible and but her follicle stimulated.
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Her estradiol is down to 10 or 15.
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I mean extremely low. Her FSA should be 50 or 75.
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You know, it's in menopause or at least as the pituitary's
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recognizing there's no estradiol in her system and in her case
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it's just not functioning. And you know, all of her
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pituitary hormones are low, her thyroid stimulating hormone, her
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LH or FSH. And so I use small amounts of
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estradiol along with the testosterone that we're doing in
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a pellet format. And she feels great.
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I mean, she feels great and I almost missed it, you know,
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because while you're too young, well, no, she wasn't, you know,
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and her pituitary, exactly what you said is not responding.
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Why? Again, I'm not sure.
19:09
I see it in younger people. I definitely think that the
19:12
endocrine disruptors have an impact on everything in our
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body. So we were just talking a moment
19:20
ago about about the hypothetical use of stem cells.
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How do they fit into a practice? I like the biological concept.
19:31
Stem cells are there for a reason, to regenerate things.
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As we get older, we make fewer of them.
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The hard part with stem cells is I don't ever see this being
19:42
standardized enough for the FDA to ever endorse them because
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they come from an array of sources.
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And I know that there are stem cells that can come from
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autonomous, so you can take them from your own body.
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What's your thought about stem cells that come from the person
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versus those that come from like an umbilical source where
20:06
they'll sometimes collect them? Well, I, I think given the right
20:12
source and the right processing and the right company that
20:17
they're all safe. But I've been doing adipose
20:20
derived stem cells since 2011. It's one of the first in the US
20:25
banked my own. I use them frequently.
20:28
You know, they're perfectly safe and whether it's a joint
20:32
injection or infusion to target areas of inflammation, they
20:36
modulate the immune system. They stimulate the
20:40
microcirculation from your eyes to your genitals.
20:43
There there's no downside to using your own stem cells and
20:48
when they can be banked and culture expanded, then the
20:52
quantity of cells is irrelevant. You can, you know, order as many
20:57
as you know, we think you might need, but they work extremely
21:02
well and I've been doing it for a long time.
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I've done, I don't know, 1000 plus joint stem cell joint
21:08
injections and and it's highly successful.
21:11
It always works. It's a question of is 1 enough?
21:15
Sometimes we have to follow up injection and, and, and it also
21:20
depends on the severity of the joint.
21:22
But you know, half of the people that come to see me with a bad
21:26
knee, it's bone on bone and they've been told you need a
21:29
knee replacement. Not many really have to go on to
21:32
do that. And that's not always 100%
21:36
successful. Yeah, I I couldn't agree more.
21:38
You know this concept of bone on bone, First of all, it's an
21:42
anatomical fallacy. You know, the articular
21:45
cartilage is 1 cell thick. So bone on bone is what the
21:48
orthopods like to do to convince you.
21:50
You got to throw away your joint.
21:52
The minute you put metal in the body, it begins oxidizing, you
21:55
know, and I don't want, if I can avoid it, artificial metal in
21:59
me. It's an unknown quantity going
22:02
forward. And your ability to regenerate
22:05
the cartilage with stem cells is something conventional medicine
22:09
doesn't embrace. They don't believe it's a two
22:10
way St. We know, you know, the
22:12
osteopathic principle of the body having dynamic self healing
22:16
can reverse that. We can regrow cartilage.
22:19
I know it's extreme statement, but you've seen it.
22:22
I've seen it. Stem cells, PRP, ozone
22:26
injections, shockwave therapy. There's so much out there that's
22:31
outside of the mainstream of medicine.
22:33
Can we please folks stop doing cortisone shots in your knees?
22:36
Can we just quit that already? Just it's just a good way to to
22:41
ruin a good joint. The other part is it and you
22:44
know, this it's it's the patient's got to be a partner
22:47
with the anti aging. And I think this is the mental
22:50
framework. You don't it was a Clint
22:53
Eastwood. Somebody asked him how he stays
22:56
so vital. He said, I don't let the old man
22:58
in, you know, you got to fight it mentally.
23:01
And that joint is dependent on the muscles, which depends on
23:05
the protein, which depends on the testosterone and the effort
23:08
of the patient, right? Put all together, the joints can
23:12
revitalize. Folks don't get it replaced
23:14
unless you see Julian and let him take care of your joints or
23:19
you see somebody like him. And I guess there are more of us
23:23
starting to proliferate. But like you've said, mainstream
23:27
is 20 years behind us. Let's talk a little bit about
23:30
about growth hormone. I think I find this one of the
23:33
most controversial substances in anti aging medicine.
23:38
Is there an age at which you feel growth hormone replacement
23:42
becomes almost inevitable because it's losing its
23:45
capacity? Or is it individual?
23:49
Well, it's definitely individual because it happens at a younger
23:52
and younger age like you said, with all of our hormones
23:56
declining exponentially really and a much younger age.
24:00
I check it on everyone every time we do blood work multiple
24:04
times a year, quarterly at least.
24:06
If you're on my program, we're looking at IGF, one insulin like
24:10
growth factor, where, where is it?
24:11
What was it when you were 20 something, 200 to 2:50.
24:16
There are some that think it may need to be as high as 300, but
24:21
you know, it's, I call it the icing on the cake.
24:24
First we got to bake the cake and that's all your other
24:27
hormones, good micronutrients, DHEA, possibly pregnant alone,
24:32
different things. And along with diet, exercise,
24:37
lifestyle, hydration, and then we start icing the cake, growth
24:42
hormone. I get a lot of calls now for
24:45
peptides. I was at a social event in Aspen
24:48
last night and I can't tell you how many, oh anti aging, do you
24:52
do peptides like oh great, I want to get on peptides.
24:56
I said great, which one? They they're like, I don't know,
25:01
do I have to do blood work? I'm like, well, if you're going
25:03
to see me, yes, I want to do some blood work.
25:06
I want to see like I have someone who's going to stop by
25:09
today. She's like, I want to get on
25:12
testimony. I'm like, well, maybe we should
25:15
check and see where your growth hormone level is because it's
25:18
already 200. I'm not going to recommend it,
25:21
but. I agree with this.
25:25
It's I agree with you 100%. Man it is funny people think
25:29
peptides are a singular thing. When folks say I want peptides
25:34
it be be like me saying I want food or do you prescribe pills
25:39
in your practice doctor? Because I want pills, folks,
25:43
Peptides. They're not magic.
25:46
And in many cases, it is the least needed entity.
25:50
They are so heavily promoted on the Internet and I see these
25:53
young people. My son is 20 something and he's
25:57
plugged into the community of, let me call them young morons
26:01
because they're just, they're just learning up on the stuff,
26:04
buying it from wherever. And I read one study that showed
26:09
the online of peptides that you can buy folks, you can buy them
26:12
for yourself. Nearly over half of them had
26:15
nothing in them. They were selling powder.
26:18
You know, I have even one of my, my son, I I call him the same
26:24
thing all the time. Like, you're so stupid.
26:27
He's like, I just bought a bunch of peptides from China.
26:30
I'm like I said, there's the one that say research only, not
26:35
intended for use in here for animals.
26:38
Well, yeah. Like what's wrong with you?
26:41
You know, a compounding pharmacy, they're FDA regulated,
26:46
they have to have potency impurity standards or they don't
26:51
exist. And so I only use top rated
26:54
compounding pharmacies and there's multiple sources online
26:59
where you can go to somebody, peptide something sciences or
27:04
whatever and buy this research only.
27:07
Well yeah, it was only 100 bucks instead of 300 like.
27:11
I saw one Julian and they were promoting online that they were
27:15
99% pure. Now Julian knows that that means
27:18
they're 100% contaminated. You shouldn't put that anywhere
27:22
in. Furthermore, when people say I
27:25
want peptides, what they're saying is I want a response for
27:29
something. And what Julian knows, what he
27:32
does in his practice is analyze what The X Factor is.
27:37
Now, people who feel great, the other type of patient we see is
27:41
the one who comes in and says I feel great, but I don't want to
27:44
age, you know, proactive, let me get out in front of this.
27:48
And so, you know, hormone therapy, yes, the big thing,
27:51
right, The big three, cancer, heart disease and dementia.
27:56
So in my practice, I do a ton of calcium scores.
28:00
You do infusion therapy. I did a lot of chelation when I
28:04
had the infusion available. I do a lot of DMSA currently for
28:08
lead reduction of correlating that with brain protection, the
28:14
stem cells. I mean, growth hormone is hard
28:16
to prescribe though, isn't it? The FDA doesn't allow us to use
28:19
it off label. It's highly scrutinized.
28:22
Therefore, the peptides to stimulate the growth hormone is
28:27
what most of us end up going to. Tell me about your practice.
28:32
Are you primarily doing peptide to stimulate growth hormone or
28:35
have you found in some cases you have to go to?
28:38
You know, and it does work most of the time and, and it's dose
28:42
dependent. Some work better with Sir
28:45
Morellan than Tessa Morellan or CJC 1295 with IPA Morellan.
28:50
And that one works the least, least effective of the ones that
28:56
I've used. And but it's case dependent.
29:00
And if they respond and get, you know, close to where it needs to
29:04
be fine. You know, I have, I have
29:06
patients on human growth hormone and you know it's expensive, you
29:10
know, it's 1500 bucks a month for a Nordotropin pen.
29:15
You can get other forms that are less, but irregardless it has
29:20
significant benefits. So it really depends where
29:23
things are at. Most people will respond to
29:27
different peptides to improve growth hormone.
29:31
They may not make it to 250, but if it's 180, I'm pretty happy.
29:36
You know, it's a lot better than where we started, so.
29:40
Julian, you mentioned in important detail money, you
29:43
know, and there's definitely a cost factor, right?
29:47
If your budget for anti aging is 0, that's a problem.
29:51
But you ought not to enter into the space thinking that you've
29:55
got to be a millionaire. There's something that could be
29:58
done to alter the aging trajectory you're on.
30:02
Not everybody has to do the same thing.
30:04
So I always encourage people to work within the framework of of
30:08
their maintenance. Mitochondrial support.
30:10
We hear a lot about NMN and nicotinamide riboside.
30:14
These are precursors for mitochondrial support and also
30:18
NAD, which can be directly injected.
30:21
What do you like to use? How do you like to approach
30:23
mitochondrial? Well, of course, I put everybody
30:27
on Coq 10 because number one, that you know, if they're on a
30:31
statin, they have no Coq 10 and so you need to restore it.
30:35
Hopefully they're not on a statin.
30:37
And I refuse to write a prescription for a statin
30:39
because the death rate hasn't changed in 35 years since
30:43
Framingham study in spite of a multi billion dollar industry.
30:47
And anyway, that's another topic, but yeah, I lost my train
30:55
of. Thought we're talking NMN,
30:57
entinamide, riboside or. Injection is great and there's
31:01
some companies promoting the heck out of it.
31:03
It had the body has to convert it, you know, and make NAD.
31:07
And so I use one called Real NAD Plus it's a sublingual rapid
31:11
dissolved tablet. It's NAD and then I use peptides
31:15
but you know the Ned plus sub Q injection I generally do three
31:21
days a week. I have a gal who's a friend of
31:24
mine in Fort Worth that I was talking to yesterday.
31:27
She said what can I do about this nausea?
31:29
I haven't taken this in two days and I'm still sick.
31:32
I said well how much you taking? Well, I got this from a guy I
31:35
know. She's, I mean a fitness expert.
31:38
And this guy somehow got her prescription for Ned Plus and
31:43
had her start with 50 units every day.
31:46
Well, you every day. Every day, daily.
31:49
And I said. Yikes.
31:50
You got to start with 25 units three days a week for a month
31:54
and then increase it slowly. Maybe you can tolerate 50 just
31:58
fine, but most people Ned makes you, you know, throw up your
32:03
toenails. I mean, it's you don't want to
32:06
go there and use that much right away.
32:08
But again, it's the misinformation and somebody out
32:12
there that thinks he's a he's not a physician.
32:14
He thinks he's a peptide expert and and started her on high dose
32:18
and she was just about to dinner with my kids tonight.
32:22
They're in town visiting and I can't eat anything.
32:25
I'm sick. I'm like.
32:27
Not good. You got to, you know, folks, you
32:30
got to have a physician, A qualified nurse practitioner, in
32:34
some cases a naturopath, people that are trained in this.
32:38
This is not trivial. We're talking about your life.
32:41
And it's even more important to have somebody of the caliber of
32:44
a Julian in order to project ahead.
32:47
You know, it's one thing to treat a disease in front of you.
32:49
It's another thing to look at a person and say we're going to do
32:52
this for the future. So mitochondrial support is
32:56
essential. They do decay as we get older,
32:59
they become affected by reactive oxygen species.
33:03
So we've got to address that, right?
33:04
Free radical maintenance, the support of mitochondria is
33:08
likely to be a barrier toward progression of cancer.
33:13
Because that seems to be kind of where it originates.
33:16
You know, I, I believe in getting after in, in my world,
33:19
you know, I treat a lot of men with prostate cancer.
33:21
There's actually a niche for a statin drug atorvastatin as an
33:25
anti cancer agent, Visa V prostate cancer.
33:28
I never use it for cholesterol, but in that niche it may have a
33:32
little bit of value, but the the over utilization of it is
33:36
phenomenal. You know, I like to think
33:39
medicine wouldn't exist if they couldn't create diseases and
33:43
otherwise healthy people. You thought you were healthy?
33:46
Nah, not so quick. You got high cholesterol.
33:48
And my goodness, Julian, what have they done with blood
33:50
pressure? They keep dropping it.
33:52
They're going to have the entire nation diagnosed with
33:54
hypertension. A great way to get them all on
33:56
drugs and believable. Well, the talked about some
34:02
adipause stem cells. Now we come to the real
34:05
uncomfortable part of reflection.
34:07
How long can a human live here? You and I are practicing anti
34:12
aging and living it. What are your thoughts about
34:16
longevity for somebody in our age bracket and for somebody
34:19
who's 30? What's what is a?
34:22
Interesting. I mean there are those that
34:24
think the new number is going to be 120.
34:27
So you know, genetics is a big deal.
34:30
I lost my father July 1st at almost 101 and he had no help,
34:36
just good genetics and I like hey, I'm not going down a lot of
34:42
fight. Which is why I heard
34:44
testosterone 23 years ago and intermittently growth hormone
34:49
and certainly everything else that's in the longevity studies,
34:52
DHEA, metformin now GOP wants. I think that 110 is a real
34:58
number and it depends, you know, I don't want to live to 120 if
35:02
I'm bedridden and can't go for a hike or do something, you know,
35:07
it's about vitality, quality of life for as long as possible.
35:11
Nobody's going to be here forever.
35:13
That's just doesn't isn't going to happen so.
35:15
Hey, I like, I like your 120. You know, when I started my anti
35:19
aging practice, Scott, 15 years ago, Julian, I called it
35:22
intellectual medicine 120 and the 120 stood for 120 years.
35:26
It's the Haflik equation. How long can a human cell live
35:29
for? It's Genesis 120 years, and it
35:33
is biologically evident. Madame Claudette from France
35:37
lived to be 120, right? So 120 is a legitimate number.
35:41
I can't tell you how much friction I got from conventional
35:45
medicine for hanging that number.
35:48
I believe it. I believe 120 should be the
35:50
objective. And when people die in their
35:53
80s, we shouldn't accept that as just normal, right?
35:56
We're changing it. You don't get there unless you
36:00
aspire to get there. And then you got to plan on it.
36:03
You got to plan on being alive longer than other people.
36:06
Do you have the emotional fortitude to watch your peers
36:10
predecease you? And do you have the wisdom to
36:13
make friends with young people so you're not alone?
36:16
And like Julian, do you have the passion to keep engaged in life,
36:21
in people? So, you know, kudos to the path
36:24
you're on, the leadership that you've shown, the ability to
36:28
maintain your own vitality and share it with other people and
36:31
do so stepping out of that whole mainstream.
36:35
I just finished Thomas Kuhn's book.
36:37
He wrote about the history of science and he talks about the
36:40
pivot points. He's the guy who coined the
36:42
phrase paradigm and paradigm shift.
36:45
And that's what you and I are talking about.
36:47
It's a shift from let me wait here until I get sick versus let
36:52
me get out in front. We know what the end looks like,
36:55
and now we know what we could do to help change that arc.
36:59
The brain, preserving it. What are some of the key
37:04
elements you feel are contributing to brain
37:07
preservation? Avoidance of dementia?
37:09
Environmentally anti ageing wise.
37:11
Well, obviously, absolutely hormone therapy, particularly
37:15
for women, natural estradiol is the best thing that can possibly
37:21
do to avert and decrease been shown decrease their risk by I
37:25
believe around 37% of developing ulcer.
37:29
So why not make it 100%? I don't have a in 23 years, I've
37:34
never seen a single female patient mind develop Alzheimer's
37:39
that maintained hormone balance after menopause.
37:42
And I had several in their 80s and 90s and, you know, they're
37:47
sharp as a tack and staying. That's a powerful statement.
37:52
You know, we know that age correlates with dementia.
37:54
We also know the per capita rate of dementia is actually
37:58
declined, and that correlates with taking lead out of gas and
38:02
paint. Lead is a direct neurotoxin.
38:06
And in my practice, it's a routine to do lead
38:09
detoxification. We use DMSA if it's available,
38:14
intravenous calcium, EDTA and saunas, right?
38:18
You could spread out a lot of toxins.
38:21
I don't do sauna because I'm impatient that I can't sit there
38:23
that long. But but for those who are, I
38:26
think it's fabulous. How about you, Julian?
38:29
Are you a partake of saunas? Yeah.
38:32
And you know I don't have one at home right now, but yes, I do
38:36
like son. And the other thing that we do
38:38
for heavy metals, toxins, mycotoxins, microplastics is
38:44
high dose EBO 2 therapy. So it's high dose ozone therapy
38:48
first. It's about an hour procedure the
38:52
treating 5 to 7 liters of blood and literally as it goes out one
38:56
arm, it's going first to an actual dialysis filter that had
39:01
we've measured patients and removes heavy pulse toxins,
39:05
mycotoxins, Candida, viral particles and microplastics and
39:11
that is. Fascinating.
39:12
So you can actually measure that coming out of them with the
39:14
equipment. Well, when we do blood testing
39:18
after the. Test.
39:19
We ages and the levels absolutely so.
39:23
Fabulous. Works.
39:26
And this is all folks at the Aspen Institute for Anti Aging
39:29
and Regenerative Medicine. If you're in distance, you could
39:32
fly there, you could drive there.
39:34
I'm guessing you serve people all over the world and just open
39:36
up in Cabo, right? Yes.
39:40
Tell me about that. Give us a heads up on that.
39:42
Hey, we're in Cabo San Lucas once a month.
39:45
I, you know, it's my semi retirement plan.
39:48
I'm going to be working for a while and I enjoy it.
39:51
But you know, warm weather Dublin snows.
39:54
I am. I live even though I live in
39:57
Aspen, but I've been partnership there with a group called
40:02
Rehealth, who Rafael Gonzales, friend of mine and mentor for
40:07
many years, one of the top stem cell scientists in the world.
40:10
World do some things there with natural killer cells, high dose
40:14
umbilical cord infusions, things that we don't do in the US.
40:18
But then I do everything that I do because there's really no one
40:23
else in Cabo that's a hormone expert.
40:25
So, you know, we're just started last month and we're just
40:29
growing that business and looking forward to serving
40:33
people. There are a lot of American and
40:35
Canadians that, you know, relocate to warm, sunny Mexico,
40:40
yeah. Well, congratulations on the new
40:43
endeavour. Look at you going doing new
40:45
stuff. Why not?
40:46
And I I know you have a book, Beyond the Fountain of Youth,
40:49
and do you have that handy you could show us?
40:52
So. There it is, beyond the fountain
40:54
of youth on. Amazon and we have that's the
40:59
title of my podcast, Beyond the Fountain of Youth podcast on
41:03
YouTube. There's an audio book and e-book
41:07
available on Amazon as well. And I go through the A-Z, my
41:12
story, how I did this, why, and then I talk about everything
41:15
from hormone therapy, stem cells, red light therapy, all
41:19
the different modalities and things that are available that
41:23
we can utilize to live better, longer.
41:28
Fabulous. And you know, folks, Julian is
41:31
the real deal. We're talking authentic.
41:34
If you want to know about anti aging, dial in his podcast, get
41:37
his book, get it from reliable sources.
41:40
You know, we were just laughing a moment ago about people
41:43
grabbing info. It's like the least credible
41:46
pathway, the most highly promoted.
41:50
I love the fact that the Internet enables people to
41:53
research and to discover things. Just don't try to be your own
41:57
doctor for goodness sakes. You what's that old saying if a
42:00
man who treats himself as an idiot for a physician?
42:05
As as much as I know about anti aging, I have a doc and guides
42:09
the therapy. So hey Julian, this has been an
42:11
absolute delight. Really.
42:13
I look forward to hopefully our paths crossing at anti aging
42:16
conferences and great. I don't know man, I may have to
42:19
take a visit out of Cabo. That sounds pretty appealing.
42:21
Why not? Come on?
42:23
Off clubs with you. Listen, thanks for being part of
42:26
my podcast and on behalf of all my people listening, keep up
42:29
that great work with anti aging and let's go for 120.
42:33
Let's do this podcast again in about 40 years.
42:36
All right, sounds great all. Right.
42:38
I'll see you then.