Latest / The Driven Athlete / Anti-Aging, Medical Weight Loss, & Regenerative Approach with Blake Baynham | Ep 36
Transcript
- 0:00Speaker 1: If you're a driven, active person who wants to reach and pursue a higher quality life with some ambition, then guess what this podcast is for you.
- 0:07Speaker 1: This is the Driven Athlete Podcast.
- 0:10Speaker 1: What's up y'all?
- 0:13Speaker 1: It's me, dr Kyle.
- 0:13Speaker 1: Welcome back to the Driven Athlete Podcast.
- 0:15Speaker 1: We got the legend here, blake Bynum with us joining us.
- 0:18Speaker 1: I know you're busy, dudes.
- 0:20Speaker 1: Thanks for coming in.
- 0:21Speaker 2: No thanks for having me, Absolutely.
- 0:30Speaker 1: So Blake is the owner um of the fountain, yeah, and also hugh west palm beach gym, right, yep, tell people what, uh, where the fountain's located and what, what the fountain's about?
- 0:33Speaker 2: yeah, so the fountain's over on the corner, okachobian 95, um, right in the uh village commons.
- 0:38Speaker 2: What is it?
- 0:39Speaker 2: Palm beach marketplace I was getting jim plaza confused right there behind star, all that good stuff.
- 0:44Speaker 2: Fountain is all about anti-aging, regenerative medicine.
- 0:47Speaker 2: We're really turning the focus more on the medical side.
- 0:50Speaker 2: Got a lot of cool things coming down the pipeline which we'll get into, but our primary focuses are preventative imaging, are regenerative medicines, so can't say stem cell, but orthobiologics exosomes that's the appropriate term, orthobiologics exosomes, all that good stuff.
- 1:08Speaker 2: And then, uh, hormone therapy, medical weight loss, we do IVs, we do aesthetics, um, but those are kind of just ancillary to you know our main offerings which I just mentioned.
- 1:16Speaker 1: Yeah, Gotcha, Um.
- 1:18Speaker 1: And then how soon after you opened Hugh West Palm did you guys open up the fountain?
- 1:23Speaker 1: Probably too soon.
- 1:24Speaker 1: There's a lot to tackle.
- 1:27Speaker 2: Yeah, it's been a lot going on.
- 1:27Speaker 2: So we opened Hugh West Palm Beach right after COVID, so it was February of 21.
- 1:33Speaker 2: Timing was kind of great.
- 1:35Speaker 2: People were ready to get out of their houses, they were tired.
- 1:37Speaker 2: Everybody bought the home workout gyms and they were over it.
- 1:40Speaker 2: So we had a nice flood to open up Some human interaction and some group.
- 1:48Speaker 2: Yeah, exactly, people love the group environment and you know it's it's not for everybody, but the people that you know have trouble with getting to the gym on a regular basis or that accountability, like the group fitness, is great Cause, not only from the coaches but then from your.
- 1:56Speaker 2: You know friends you make at the gym.
- 1:58Speaker 2: If you have friends that join you, other clients, they're like hey, blake where are you been?
- 2:02Speaker 2: Yeah, I haven't seen you in a week.
- 2:03Speaker 2: You're like all right, I got it.
- 2:04Speaker 1: I literally had a patient this morning.
- 2:05Speaker 1: We're talking about that.
- 2:06Speaker 1: Like they go to just like a standard like global gym.
- 2:08Speaker 1: You know they do the weight stuff or whatever, and they're like you know you have like the regulars that you see in there.
- 2:19Speaker 1: You're not friends, you don't talk, you don't know their name, but you see, and it's like an accountability, like an unwritten, unspoken kind of thing, and I'm like I know exactly what you're talking about.
- 2:26Speaker 1: Even that so amplify that with a group setting, you know.
- 2:28Speaker 2: Yeah, cause people get close.
- 2:29Speaker 2: You know it's anywhere from 10 to 20 people per class usually and so you get to know you know kind of those same regular people in your class.
- 2:42Speaker 2: So it does build in the accountability as well which we like.
- 2:45Speaker 1: Yeah, yeah, that's awesome.
- 2:46Speaker 1: Um, and I remember seeing y'all like opening up, doing the parking lot workouts and building the stuff at bonus space out and then gradually getting a lot of track, more awareness.
- 2:55Speaker 1: You know that's a grind.
- 2:57Speaker 2: It is a grind.
- 2:58Speaker 2: The uh, the outdoor bootcamps are really cool.
- 3:00Speaker 2: We did that for our first location as well.
- 3:02Speaker 2: It just is a great way to.
- 3:03Speaker 2: I mean, when we're out in the parking lot right next to village Boulevard, there's a ton of traffic right there, so you're constantly.
- 3:08Speaker 2: You know, people are constantly seeing us early morning, late afternoon, before class, today working out and and just it's a great way for people to come in.
- 3:15Speaker 2: They get some free workouts and then by the time we open us, we open with a solid membership base and kind of go from there.
- 3:25Speaker 1: It's smart.
- 3:26Speaker 1: So there's definitely a lot of carryover right Fitness, wellness, gym exercise, and then layer in with the fountain and the offerings you all do there.
- 3:34Speaker 1: What was the motivation for you guys to be like?
- 3:37Speaker 1: You know what we should do.
- 3:38Speaker 1: Let's get this, the fountain going.
- 3:40Speaker 2: Yeah.
- 3:40Speaker 2: So with our last gym we kind of branched off.
- 3:44Speaker 2: Our next business after the first gym was like just completely sidestepped anything we were doing.
- 3:49Speaker 2: It was you did a tropical smoothie, we did recovery, you know, treatment for addiction, and while the industries were very cool, we were very passionate about helping people and being successful, it wasn't necessarily in line with what we were already doing, so it was a kind of a quantum shift.
- 4:06Speaker 2: It was, like, you know, going from health and wellness to food service, like just big leap.
- 4:11Speaker 2: So this time, you know, we had some struggles, admittedly, like it was definitely a huge learning curve lost passion in both industries because it wasn't really in the vein of what we were passionate about.
- 4:21Speaker 2: So this time, you know, I've been an HRT client for seven years or patient for seven years now and it was really about like what's the next thing we can do that falls really in line with what we're already doing?
- 4:32Speaker 2: So there'll be some carryover right, there'll be some cross collaboration and opportunity between the two businesses, but also something that just kind of continues down our vein of passion.
- 4:41Speaker 2: I guess is the best way to put it.
- 4:42Speaker 2: Yeah, and that was that was health and wellness.
- 4:46Speaker 1: That makes sense.
- 4:46Speaker 1: Yeah, totally, and it's a great alignment, you know, and if you're all it's like, if you're not super passionate or enjoy and nerds about what you do, it's only going to wean out the enthusiasm you know what I mean, it does, cause it's, it's a grind.
- 4:58Speaker 2: I mean, you know you've started your own, your own practice, and if you weren't passionate about it like there's even being passionate about it there's plenty of times where you're like, man, am I, am I doing the right thing?
- 5:06Speaker 2: Like this is hard.
- 5:06Speaker 2: This is really, really hard.
- 5:08Speaker 2: I'm really stressed out.
- 5:09Speaker 2: It's taken away from my family.
- 5:11Speaker 2: It's taken away from, you know, like my, currently my personal, like time doesn't exist other than a few workouts a week.
- 5:18Speaker 2: It's raising kids, working the businesses and and working out and sneaking in a workout, yeah exactly 45 minutes.
- 5:25Speaker 1: Let's get out, let's do it.
- 5:26Speaker 1: Do you think we could do it this way Exactly?
- 5:27Speaker 1: I know?
- 5:28Speaker 2: exactly what we're talking about.
- 5:29Speaker 2: So being passionate about it, you know, allows you to push through those tough spots and those rough patches and get to a point where you know the goal is to not be there 24 seven and to have a business that kind of runs itself, or you can.
- 5:43Speaker 2: You can oversee and, right, have the good team members in place.
- 5:46Speaker 1: Yeah, um, no, totally, and I think, uh, it's a good link between entrepreneurship, getting after things professionally and growing professionally, and then also, um, and time management.
- 5:57Speaker 1: You know what I mean and the delayed gratification that comes with that, which I know is that's, that's the key, you know, for growing a business.
- 6:10Speaker 1: But also the same kind of alignment with, like shifting wellness and health and fitness and the changes that a person will see.
- 6:12Speaker 1: You know it's not going to happen in like a week or two workouts, or like you know what I ate salad today.
- 6:16Speaker 1: So, therefore, where's my six pack?
- 6:18Speaker 1: And it's like, dude, the one, one meal isn't going to get you jacked or like shredded.
- 6:22Speaker 1: In like one workout it's not going to get you jacked or shredded, but in one meal is not gonna make you fat either.
- 6:27Speaker 1: Right, yeah, but anyway, the the links in the carryover, but the symmetry between like delayed gratification and then putting some work in without seeing results long enough until you do, and that's when it really feels really good, you know.
- 6:39Speaker 2: And that that thing carries over, I think, in all areas of life.
- 6:43Speaker 2: Yeah, totally, I talk about it all the time.
- 6:45Speaker 2: Excuse me With our gym clients.
- 6:54Speaker 2: I talk about it with, you know, fountain clients that are starting a medical weight loss or HRT program or some health and wellness program.
- 6:57Speaker 2: It's like compliance and consistency over a long period of time is what gets you results.
- 6:59Speaker 2: You know it's not going to the gym and crushing a workout seven days a week, it's four to five days a week doing something right and being consistent, and you're going to have days that suck and you're like, wow, that was a terrible workout, but it was something right.
- 7:13Speaker 2: Is what kind of gets you in that, in that place where it's sustainable and you can do it.
- 7:18Speaker 1: I had a uh, I spoke recently with a patient that is a D one football player.
- 7:23Speaker 1: It has an interesting story and a lot of setbacks and eventually did well enough and was healthy enough and durable enough to then get like a scholarship was awesome, huge high five moment.
- 7:33Speaker 1: And I was talking to some other kids or like other student athletes recently too, and I was like trying to get his opinion what would you relay to young athletes or young people going through this route for the sense of of like grit, delay gratification, discipline, hard work, not seeing the results yet, but I know it's going to come later.
- 7:49Speaker 1: If I stick with the consistency, the right things, um, that's it was recommending.
- 7:53Speaker 1: Yeah, totally huge advocate for that and I'm like dude.
- 7:55Speaker 1: The reason is because it's going to set you up way more differently in the future for those habit changes of even though I don't feel great, you still did it anyway, not to put as detrimental by any means, but you're still staying consistent.
- 8:08Speaker 1: It's only going to enhance the consistency and the ability to just like push through not great days even though you're not seeing benefits, delayed gratification, knowing it's going to send you a completely different trajectory compared to maybe other colleagues or peers that don't have those character traits, forged from all these challenging times.
- 8:26Speaker 2: Yeah, and my son's getting to the age where I start to have that conversation with him and I'm sure you know your kids will be there soon.
- 8:31Speaker 2: He's nine, yeah, so he's really in a soccer, right.
- 8:34Speaker 2: He's like I mean gung ho and he's good.
- 8:36Speaker 2: He's like as unbiased as I can be, like he's good.
- 8:40Speaker 1: He's the best part of the team.
- 8:41Speaker 2: Like, no question, you know, best player in the state?
- 8:43Speaker 2: No, no, but he's good and he's.
- 8:44Speaker 2: He just started playing a year ago but he's already, you know, developed a lot.
- 8:48Speaker 2: We've done some private lessons.
- 8:49Speaker 2: The coach was like he has a lot of potential.
- 8:51Speaker 2: You know you need to keep nurturing this.
- 8:52Speaker 2: But the conversation we have is that consistency, right.
- 8:55Speaker 2: And it's also you know, we've talked about young looking at it as an opportunity to just better yourself, Like you're going to learn a lot in that process of grinding and not getting instant feedback on, like whether or not something's working.
- 9:09Speaker 2: And it could be a year, two years, never that you get a return on that investment, Right.
- 9:14Speaker 2: But if you look at it as like, hey, this is an opportunity to grow life's long, I can fail a few times and hopefully next time I do a little bit better and get over that hump, yeah, that's the approach to take.
- 9:25Speaker 2: But so often I mean, especially in our society it's like we want that, we're conditioned to expect instant feedback and instant gratification.
- 9:35Speaker 1: It's the social media highlight reels.
- 9:36Speaker 2: It's tough to break out of that 100%, totally.
- 9:38Speaker 1: I'll battle that for sure.
- 9:39Speaker 1: I was talking to my wife about that the other night the uh and the, the discipline, the delayed gratification, like you were saying.
- 9:46Speaker 1: Totally, the consistency, um, it's something I want to encourage my kids and, like my daughter just started the i9 sports and she's not four yet, she's three and a half and it's just like little ducklings chasing a ball and you're going the wrong way, you know.
- 9:59Speaker 2: But hey, you're having fun that's a great program, though it's it's.
- 10:02Speaker 2: It's maddox did that for the first, like three or four years, exactly like four years old, to like six or seven, and just cause it's like it's an hour a week, you're out there all the time.
- 10:10Speaker 2: They get a mix of everything.
- 10:11Speaker 2: They try out different sports and then uh yeah, find out what they like.
- 10:14Speaker 1: But with young athletes like that too, and a professional that I've chatted with multiple times and other professionals too, part of Part of the hey, it's okay to fail.
- 10:22Speaker 1: Sometimes You're not awesome.
- 10:23Speaker 1: What would you expect to be an all-star soccer player the first day you try?
- 10:27Speaker 1: Probably not right.
- 10:28Speaker 1: Or like the first time you introduce a new instrument or whatever.
- 10:31Speaker 1: Like, probably not going to be an expert in Mozart today, you know.
- 10:34Speaker 1: Yeah, but the humility to understand that and be like I'm going to suck at the beginning, but that's okay because I'm going to practice.
- 10:41Speaker 1: I'm going to instill some of these habits that I know will lead to an outcome at some point.
- 10:51Speaker 1: But anyway, this, this she was just like it's.
- 10:52Speaker 1: The big difference is the willingness to to look potentially bad in front of your peers and colleagues and whatever.
- 10:55Speaker 1: And like you don't I suck, but the humility to do it anyway.
- 10:59Speaker 2: Yeah, what's, what's the quote?
- 11:00Speaker 2: It's like in order to be a master, you have to be willing to be a fool first.
- 11:03Speaker 2: It's like that.
- 11:04Speaker 2: It's tough, especially if you if you, you know have had some success or you've, you've done, you know, done well in school or done well in sports, to like start over.
- 11:15Speaker 1: It's yeah, you expect to be like why am I not awesome at this?
- 11:18Speaker 1: You know it's frustrating.
- 11:19Speaker 2: Yeah, it's, uh, it's frustrating.
- 11:20Speaker 2: It's, yeah, it's an uphill battle for sure.
- 11:22Speaker 1: I've had Randall Greer on here and he was talking about a similar situation of, like, you know, if, if a gym sounds intimidating, looks intimidating, it's noisy, there's music, there's muscular, fit individuals that are in there, um, it can be intimidating for someone to be like walking in and like, hey, my name's, so can I just kind of work out with it.
- 11:43Speaker 1: You know it's intimidating, right, um, and then the willingness to to, um, just throw your hat in the ring and just start.
- 11:50Speaker 1: You know, um, what message would you want to convey for people that are like in the West Palm area, that want to check out Hugh West Palm?
- 11:57Speaker 1: Like, what would you, what would you want to convey to?
- 11:58Speaker 2: that.
- 11:59Speaker 2: So that's kind of the reason we went with Hugh instead of doing like a CrossFit and I hate to lump them all together cause they're not.
- 12:04Speaker 2: They're not all the same and a lot of CrossFit gyms do this really well, but as a brand, you know, crossfit's kind of focused on at least in my opinion um, well, it's in their tagline, right Forging elite fitness.
- 12:15Speaker 2: So they're focused on aggressive, elite athlete, yeah.
- 12:17Speaker 2: And so if you look at like their hierarchy of who's important, right, you have your CrossFit games athletes, then you have your gym owners, then you have your coaches, then you have the top athletes at that gym.
- 12:28Speaker 2: They get all the attention from the coaches, then you have everybody else.
- 12:31Speaker 2: Everybody else is 98.5% of the population.
- 12:35Speaker 2: And that's kind of why we decided like, hey, if we create you know we were Hugh clients, we never did CrossFit, we went right into Hugh, um, but we decided like, hey, if we go that route, one, it opens us up to a much broader audience.
- 12:45Speaker 2: But two, we can create an environment that people feel more comfortable coming into the gym, like it's still intimidating.
- 12:51Speaker 2: We still have people all the time you can just tell on their face and their body language like they're terrified, and we try to make them as comfortable as possible.
- 12:57Speaker 2: But I mean, I'm 6'4", 240 pounds, like in fit shape.
- 13:02Speaker 2: I get nervous going into a new gym, right.
- 13:04Speaker 2: So I can't imagine, you know, a woman in her 40s, three kids, hasn't worked out in 15 years, you know, 50 pounds overweight, like yeah, she's going to be terrified.
- 13:13Speaker 2: So we just try to create an environment that's like really welcoming and we recognize like hey, this is our bread and butter.
- 13:17Speaker 2: It's not the elite athlete, like we have some great athletes in our gym, absolutely, and across the huge community, right.
- 13:22Speaker 2: But it's really like focusing on people that are looking to get back into fitness or already into fitness, looking for something different, looking for a good community with good people have fun in their workouts, you know, and that's kind of it.
- 13:42Speaker 1: Yeah, um, it's interesting you say that like social stereotypes, like they exist for a reason, right, like if CrossFit has this brand and awareness, like it is what it is, right, it's definitely feels more gritty.
- 13:48Speaker 1: You know it's slang and a banging, it's aggressive, you know, uh, that's it is.
- 13:53Speaker 1: I think that's what they want, right, and you attract the demographic you want.
- 13:56Speaker 1: You know what I mean, um, and then hughes definitely seems to be a little more um, approachable, less intimidating in general.
- 14:03Speaker 1: You know, um, and I know when I've talked with randall and john serzuski and steven now the owner of h at Hugh Wellington and other people in multiple hues have been around, there's definitely some sense of um.
- 14:16Speaker 1: I had a good sense of welcoming, you know what I mean, and people are like, hey, come on in, let's check.
- 14:20Speaker 1: You know I'll do it with you, you know, um, and then the owners and coaches were like yo, they're, those are the like, the elite.
- 14:26Speaker 1: They don't worry about that, they're good, you know, we know they're good, but I want to help you, you know, and something that Randall was also saying too and I was like I totally agree with this If a new person were to come into a gym and it's intimidating right.
- 14:39Speaker 1: Oftentimes, I'm sure the internal dialogue is probably like you don't belong here, like I don't belong here, I don't look like that.
- 14:44Speaker 1: What am I doing?
- 14:45Speaker 1: You know?
- 14:46Speaker 1: Um, and potentially, which is incorrect, my opinion, probably feeling senses of judgment, which is not true.
- 14:53Speaker 1: And I'm like you.
- 14:54Speaker 1: Imagine if somebody who was brand new to the gym were to walk in and approach a very fit, muscular looking woman or dude and they were like hey, can you, can you help me?
- 15:03Speaker 1: Like, how do I do this?
- 15:04Speaker 1: I'm 100% confident that that fit individual who's a gym goer would be like awesome, let me help you.
- 15:12Speaker 1: Dude, I'll show you this.
- 15:13Speaker 1: Let's talk about this.
- 15:14Speaker 1: This is cool.
- 15:14Speaker 1: Let me help you do this.
- 15:15Speaker 1: You got it.
- 15:16Speaker 1: Let me help you.
- 15:17Speaker 1: Versus, like this isn't for you, this is for us.
- 15:20Speaker 2: Well, yeah, it's our own fears and insecurities, right, and yeah, it's not always based in like reality.
- 15:26Speaker 2: But I even see it in myself, like if I'm at the gym and I'm working out but I'm not, I'm not coaching, right, if I'm coaching them all over people and I'm correcting them, you know every chance I get, but if I'm not coaching, I'm almost hesitant to like go and help somebody out and correct them because I'm like I don't want to intrude on their workout.
- 15:49Speaker 2: You know it's an interesting dynamic.
- 15:51Speaker 1: But anyway, if that helps anybody feel less intimidated and like more approachable, it's like let me just, let me just try, you know, at least that can be really helpful.
- 15:58Speaker 2: Yeah, Something we do too.
- 15:59Speaker 2: That's really cool.
- 16:00Speaker 2: Um, and I don't know, corporate you know helped us with this or what it was.
- 16:05Speaker 2: But we always the first thing we do when we bring somebody in is we introduce them and, like, pair them with an existing client for the warmup so that they instantly make a friend Right.
- 16:15Speaker 2: And obviously we're picking our really friendly, super bubbly clients.
- 16:18Speaker 2: We want them to have a good experience.
- 16:19Speaker 2: But they go, they go do the warmup jog together and then they you know they're kind of chatting.
- 16:23Speaker 2: Of course the coaches are on them making sure they're comfortable, but that connection with a non-coach and somebody that's really in the community is really huge as well.
- 16:31Speaker 2: Yeah, that makes sense.
- 16:32Speaker 1: Comfortable that's a great.
- 16:33Speaker 1: That's make it smart, you know, it makes me feel comfortable hold their hand through it.
- 16:36Speaker 1: You know I'm here with you.
- 16:37Speaker 1: Exactly that's good.
- 16:39Speaker 1: Um, so cool.
- 16:40Speaker 1: I mean I'd love a lot of synergy.
- 16:41Speaker 1: Turn it like and um connection link between the fitness thing and then also the fountain right, very alignable, very, and you said the, the main meat of like what y'all do and offer the fountain, um, hrt, prp, uh, ortho biologics yes, that's to be politically correct, yeah, um, and then, uh, y'all do my, I know PRP, michael, need micro needling, correct.
- 17:06Speaker 2: So that's on the aesthetic sides, yep, so.
- 17:08Speaker 2: So there's kind of a bunch of different silos and we're adding in a couple of new things coming up which are really cool, um, but our primary focus out of the gate was HRT and medical weight loss.
- 17:18Speaker 2: Um, especially with our background in fitness, like we've seen it, we see it all the time Like, for the most part, somebody comes in, they're exercising regularly, they're, uh, you know, eating well, they're going to get results.
- 17:29Speaker 2: But sometimes you know they'll get to a certain point and they're just stuck and we, we get them on.
- 17:33Speaker 2: You know, we're hammering their nutrition, we're really dialing it in, and they just can't break through this plateau.
- 17:40Speaker 2: They're at a lot of times where the medical weight loss comes in a lot of time.
- 17:42Speaker 2: Well, not even medical weight loss, a lot of times it's hormones to do it, you know, sooner rather than later, because they're at risk for, you know, other complications from being overweight.
- 17:55Speaker 2: But the hormone therapy is really appropriate for those people that are kind of just, their hormones are out of balance.
- 18:00Speaker 2: They're stuck, right they're, they're fatigued all the time.
- 18:03Speaker 2: They're not recovering well from workouts.
- 18:05Speaker 2: They can't break through that last plateau and get down to, you know, their ideal body.
- 18:09Speaker 2: You know body composition and that's kind of where that comes in.
- 18:12Speaker 2: So for us, you know again, having dealt with it myself, had low testosterone at 30 years old and just seeing the improvement in quality of my life and starting that I was like this is something that we got to share with people right, and it's blowing up Like there are a ton of clinics, you know, here in South Florida.
- 18:28Speaker 2: Obviously everybody's very concerned with how they look and how they feel, so it's a great area for it.
- 18:32Speaker 2: But it's a it's a really cool modality and it's progressive and it's kind of out of that main vein of, you know, traditional healthcare which is becoming exposed a little bit.
- 18:41Speaker 1: It feels like, in my opinion, western medicine healthcare a hundred percent, like every every bit everybody's talking about that open their eyes up they're like wait, this is not.
- 18:48Speaker 2: Uh, this is not it.
- 18:49Speaker 2: You know there's something wrong here and I forget the uh.
- 18:52Speaker 2: I'm blanking on his name, but he was doing one of those 10 X talks and he's, like, you know, the third lead, grant Cardone.
- 18:57Speaker 2: No, it wasn't Grant Cardone, it was the guy that runs his uh 10 X health.
- 19:01Speaker 2: Okay, um, he's saying the third leading cause of death in the United States is, uh, like medical malpractice.
- 19:09Speaker 2: It's like that's insane, that our, our, our medical system that's supposed to be helping us.
- 19:15Speaker 2: You know, look and feel our best is actually what's killing us.
- 19:18Speaker 2: The third eye is right.
- 19:20Speaker 1: So I have some opinions on that.
- 19:21Speaker 1: I feel like the system is definitely not set up for success for the practitioners.
- 19:26Speaker 1: They're not bad people In my opinion.
- 19:28Speaker 1: They're just not set up for success the right way.
- 19:30Speaker 1: Yeah, unfortunately insurance runs the world.
- 19:33Speaker 1: It is like that's the fact like health insurance runs the world.
- 19:36Speaker 1: Big farm is a little brother still, or a little sister to insurance companies, like they're still under their, under their control there seems to be a partnership there somehow, oh 100.
- 19:45Speaker 1: No, there's definitely a partnership.
- 19:46Speaker 1: They feed each other totally, they're in the same game.
- 19:48Speaker 1: But, um, when, with that being said, in order to fill and suffice the necessary things to get reimbursed for health insurance, the docs have to do certain things and spending time or just like listening, you know or not, making decisions haphazardly just for the sake of speedy timing of the day isn't going to set up the best decisions for people.
- 20:07Speaker 1: In my opinion.
- 20:07Speaker 1: 100.
- 20:08Speaker 1: And then what they're suggesting is usually medicine, right, like meds or injections or whatever, which are super helpful and necessary, and sometimes is it over prescribed, or am I right?
- 20:18Speaker 1: That's?
- 20:18Speaker 1: That's where the argument comes in.
- 20:20Speaker 1: Right, I don't think a pill or medicine is necessary for everything.
- 20:24Speaker 1: Right, and you can consult with your docs and multiple opinions, totally, um, but they're not in it to create solutions, in my opinion.
- 20:33Speaker 1: Yeah, they're in it to create customers and recurring customers.
- 20:36Speaker 1: Yep, some I saw recently, I was reading recently.
- 20:39Speaker 1: They're like the big farm, like they're an ascending chart of profit.
- 20:45Speaker 1: You know what I mean.
- 20:46Speaker 1: And same thing with health insurance yeah.
- 20:47Speaker 1: They're an ascending, right-leaning chart of profit margins that has increased year by year by billions of dollars.
- 20:55Speaker 1: It's like you can only do that unless you get more medications and subscribers.
- 21:01Speaker 1: You know what I mean?
- 21:01Speaker 1: Yeah, so I'm like man.
- 21:02Speaker 1: They're not in it to create solutions, they're in to create recurring customers.
- 21:05Speaker 1: And if people were getting healthier dependency.
- 21:08Speaker 2: If, if the you know, if the us population was getting healthier, that'd be great.
- 21:12Speaker 2: I think everybody before it, but they're not.
- 21:14Speaker 2: Yeah, we're trying to go in the opposite direction, unfortunately.
- 21:17Speaker 1: Yeah, yeah, totally, but anyway.
- 21:18Speaker 1: So, um, no, I totally agree.
- 21:20Speaker 1: It's like there seems to be a lot more awakening of like is there a different route for this?
- 21:25Speaker 1: You know, is this really the right route to fix whatever issues?
- 21:29Speaker 1: Are you know, going?
- 21:29Speaker 1: Is there another option?
- 21:30Speaker 2: you know, I mean um, the cool thing it's, it's becoming right, Like it used to be, kind of only the ultra wealthy that would have access to a lot of this progressive medicine.
- 21:38Speaker 2: You know stem cell, exosomes, orthobiologics, hormone therapy, peptides, et cetera.
- 21:43Speaker 2: And now that you know it's becoming a little bit more mainstream.
- 21:46Speaker 2: Um, you know, average Joe's like you and me, we can, we can afford it, we can participate in it and take care of our health longterm without, you know, financially crushing ourselves.
- 21:55Speaker 1: Right, exactly All right.
- 21:57Speaker 1: So HRT, hormone replacement therapy Correct, I mean, I would imagine, right.
- 22:02Speaker 1: The understanding off the top of the bat for layman would be like we're just going to inject a bunch of testosterone on everybody.
- 22:07Speaker 2: So explain more HRT for individual people, like cases that you guys have the uh, most people that are uneducated, like, oh, steroids, you mean like that, yeah, not steroids.
- 22:15Speaker 2: Um, yeah, exactly.
- 22:16Speaker 2: So I don't want to get acne.
- 22:17Speaker 2: What do you mean so for for men?
- 22:19Speaker 2: It's really simple.
- 22:20Speaker 2: Um, for men we look at, I mean there's obviously a bunch of markers, but the two primary drivers for men are testosterone and growth hormone.
- 22:27Speaker 2: As we age, right, those levels start declining.
- 22:30Speaker 2: So our goal is to you know, if you think back let me take a step back If you think back to like early to mid-20s, right, ton of energy, sleep like a rock, great sex drive, build muscle, you know, you go to the gym for two weeks like, oh, I see a difference, I'm starting to build some muscle, eat clean for two weeks.
- 22:46Speaker 2: You're starting to lean out, right, and as we age, all that kind of goes by the wayside.
- 22:51Speaker 2: We start sleeping, we have poor quality of sleep, gain a little weight, can't build muscle, we're getting a poor return on our investment into fitness and nutrition, et cetera, et cetera.
- 23:00Speaker 2: So our goal is to put the body back in an environment that it was early to mid twenties, which means getting testosterone and growth hormone up into the upper end of the normal range.
- 23:10Speaker 2: We don't want to blow it out of the top end of the range because of course that's unhealthy and that's where you start to get side effects.
- 23:16Speaker 2: But for men that's really the objective.
- 23:18Speaker 2: Women are a little bit trickier because their menstrual cycle is right there.
- 23:21Speaker 2: Testosterone, estrogen, progesterone are constantly in fluctuation depending upon where they are in their menstrual cycle.
- 23:26Speaker 2: So for them it's more about balance, right balance, and finding out like hey, is estrogen too high, testosterone and progesterone too low?
- 23:32Speaker 2: And then, based on if they're pre-peri, post-menopausal prescribing medication and sometimes having to do like, okay, days X through X of your cycle, you have to take this medication, which can be cumbersome but at the same time it's super effective.
- 23:46Speaker 2: So that's kind of the approach of HRT for men and women.
- 23:51Speaker 1: Gotcha.
- 23:51Speaker 1: So for women, it's like mediating the roller coaster and then dosing things appropriately in and out to keep it more steady in homeostasis, and then for dudes, as they decline with growth hormone and testosterone, keeping it elevated, which is going to help improve all facets of their physical existence Exactly.
- 24:13Speaker 2: Yeah, I mean, it's wild.
- 24:14Speaker 2: With the growth hormone, you know, addition to testosterone therapy, um, you're really covering a lot of bases, which is really cool.
- 24:22Speaker 2: You know, I started off just doing testosterone therapy myself, was feeling great.
- 24:26Speaker 2: Um, did it for about three years and I was like, well, how can I feel better?
- 24:30Speaker 2: Right, I feel good.
- 24:30Speaker 2: I want to feel even better, like, is there something else I can do?
- 24:32Speaker 2: So my initial thought was do more testosterone.
- 24:34Speaker 2: That is not the solution.
- 24:35Speaker 2: I started having side effects, started not feeling great.
- 24:37Speaker 2: So I was like, all right, let's, let's back that down.
- 24:39Speaker 2: But growth hormone was the next, or sorry, peptides for growth hormone release was the next place that I looked.
- 24:45Speaker 2: And it's kind of like doubling down on hormone therapy but keeping your levels in a safe range in both areas.
- 24:52Speaker 1: So you're kind of doubling the benefits but not necessarily setting yourself up for risk of side effects, just blowing it out of the water, like you said?
- 24:58Speaker 1: Yeah, exactly, but be moderate with it.
- 25:00Speaker 1: So then, so are you suggesting HGH, or is it like the peptides to stimulate?
- 25:07Speaker 1: The peptides are the way to go.
- 25:09Speaker 2: Yeah, so before peptides and I literally made a post about this this morning before peptides really gained popularity, if you wanted to increase your growth hormone, you had to take growth hormone, which sounds great.
- 25:19Speaker 2: But even if you're micro dosing it, it works in a negative feedback loop.
- 25:23Speaker 2: So as you're injecting growth hormone into your body, your body recognizes like, hey, I have higher growth hormone levels.
- 25:28Speaker 2: Pituitary glands stop releasing as much growth hormone.
- 25:33Speaker 1: We're good pituitary, you can stop.
- 25:34Speaker 2: So you become dependent on that medication.
- 25:37Speaker 2: With peptides they're signaling your pituitary gland to release more growth hormone and over time you're actually training your pituitary gland to do that.
- 25:48Speaker 1: To look at a different higher threshold?
- 25:49Speaker 2: Yeah, so if you stop taking peptides for an extended period of time you know, call it various person to person nine, 12, 18 months your growth hormone levels will be elevated because your pituitary gland is still trained to do that Now.
- 26:02Speaker 2: Eventually it'll drift back down.
- 26:03Speaker 2: But if you're doing growth hormone you would start off like the second you stopped.
- 26:07Speaker 2: Your levels are low and like maybe they kind of gradually build back up but they probably won't ever get back to where they were before you started, whereas with peptide therapy you're going to be at a higher level.
- 26:15Speaker 2: If you stop you're going to gradually drift back down.
- 26:19Speaker 1: But is that the same effect with testosterone therapy for the testes and males?
- 26:23Speaker 2: Yeah.
- 26:23Speaker 2: So testosterone therapy, it's important that it's done right, and we've had a lot of people come in that it's not being done right.
- 26:29Speaker 2: They'll go to a general physician or go to their primary care physician, who doesn't necessarily specialize in this stuff, and they're like oh, your blood work is showing, your testosterone is low, here's testosterone, and it's like that's great, but again, you're making them dependent on the testosterone because we're not accounting for the entire feedback loop.
- 26:49Speaker 1: Yeah, so then the organs themselves decrease their output.
- 26:53Speaker 1: And yeah, gotcha.
- 26:55Speaker 2: Yeah, so the um, the solution is doing something like an enclomophene, a clomid, hcg, gonadarellin that stimulates your natural production of luteinizing hormone and follicle stimulating hormone, which causes sperm production and testosterone production in the testes, prevents shrinkage as well, which is important and then taking an anastrozole or a Remedex which keeps your estrogen down.
- 27:19Speaker 2: So as you increase testosterone, your body wants to balance it with increased estrogen.
- 27:22Speaker 2: Some estrogen in males is good, but too much is not good.
- 27:27Speaker 2: Yeah, man boobs, man boobs, yeah, man boobs, mood, uh, that that's really actually where most of the you know side effects come from, is.
- 27:34Speaker 2: Is increased estrogen?
- 27:36Speaker 2: Actually not, uh, so do you do?
- 27:38Speaker 1: you layer in a serum with that, then a selective estrogen receptor modulator, which is for, like bros you know, gym rats that do steroids or a high super, you know, increased testosterone levels.
- 27:49Speaker 1: They have to take a serum at the same time, or a tail end of their cycle, right, would that be necessary?
- 27:54Speaker 1: How do you regulate the estrogen?
- 27:56Speaker 2: So that's doing a medication called anastrozole.
- 27:59Speaker 2: Anastrozole yeah, so it's just an estrogen suppressant, got it?
- 28:01Speaker 2: Yeah, so it just keeps the levels down and you do that once a week.
- 28:04Speaker 1: It's pretty simple, and then how long would somebody expect to notice results, and then how long would they expect to need to stay on it?
- 28:11Speaker 2: Yeah.
- 28:11Speaker 2: So testosterone therapy um, results come pretty quick.
- 28:14Speaker 2: You start to notice a difference in energy in the first couple of weeks, um, physically, in the first four to six weeks, um, and then from there the benefits kind of compound.
- 28:22Speaker 2: You know, as you go up and the way I like to position it, cause it took me a long time to kind of recognize this.
- 28:27Speaker 2: It's really a shifting of the tides, if you think about.
- 28:30Speaker 2: As we age, our levels are going down gradually, we're losing motivation, losing energy levels, we're not getting as good of a return on our investment into fitness and nutrition, so we continue to lack in motivation because the return-.
- 28:43Speaker 1: Yeah, it's like why am I doing this?
- 28:44Speaker 1: It sucks, it's not working.
- 28:45Speaker 2: My body's not responding, I'm losing motivation, I'm more tired, and it's just.
- 28:49Speaker 2: It gets worse and worse as we get older.
- 28:50Speaker 2: But adding in hormone replacement therapy whether it's testosterone therapy or peptide therapy kind of shifts the tides to where it's now an upward spiral.
- 28:59Speaker 2: Right, you're going to get more energy right out of the gate within the first few weeks, which helps you get to the gym more.
- 29:03Speaker 2: You're also going to get a better return on that investment of fitness and nutrition.
- 29:08Speaker 2: So now you're more motivated to keep doing it.
- 29:10Speaker 2: Right, and that kind of continues.
- 29:11Speaker 2: You start to see more results, start to have more energy because you're working out more, yeah, and so it kind of just turns the momentum around.
- 29:16Speaker 2: But, um, to answer your question, yeah, a few weeks to really start noticing some results say three months is really like when you're going to say, okay, for testosterone therapy, this we're going to really start seeing the full effects of this.
- 29:27Speaker 2: For peptide therapy, it takes a little bit longer.
- 29:30Speaker 2: Some of the effects you see right out of the gate better quality of sleep You're going to notice better recovery from workouts in like four to six weeks.
- 29:37Speaker 2: Hair, skin and nail quality, gut health in like two to three months.
- 29:40Speaker 2: The physical benefits, though, of like burning fat, building muscle is usually about a four to six month before you start seeing those results.
- 29:47Speaker 2: Just the way that it acts in the body.
- 29:52Speaker 1: Included with, like an improved nutritional habit and also fitness habit at the same time.
- 29:54Speaker 2: And that'll accelerate either one.
- 29:56Speaker 2: And I tell everybody, this is not a magic pill.
- 29:58Speaker 2: You can't do hormone therapy and not work out and eat like crap and expect to have results.
- 30:04Speaker 2: But If they didn't change a thing they would see a difference, but they wouldn't necessarily get to where they want to be, Gotcha.
- 30:10Speaker 2: But as far as doing it, how long do they do it for?
- 30:12Speaker 2: You can do it indefinitely.
- 30:13Speaker 2: So if it's done properly, testosterone therapy and peptide therapy you can do indefinitely because you're accounting for the entire feedback loop.
- 30:21Speaker 2: So everything's kind of functioning in harmony.
- 30:24Speaker 2: It's really about optimization and harmony, not necessarily like somebody doing a steroid cycle just blowing it out of the water.
- 30:30Speaker 2: We want to get it as big as possible and all that it's not what we're after Gotcha.
- 30:34Speaker 1: So then, if somebody does want to wean off, how long until they can start weaning off?
- 30:40Speaker 2: So they can start weaning off whenever.
- 30:41Speaker 2: Again, if it's done properly, peptides are really easy again, because it's a natural stimulation of the pituitary gland.
- 30:46Speaker 2: You could stop that cold turkey, and again your levels are going to gradually drift back down, but you're not going to be any worse for the wear.
- 30:53Speaker 2: Eventually, you'll get back to where you were before you started, which wasn't ideal, but you're not going to set yourself up for failure.
- 30:59Speaker 2: Testosterone therapy again if you're managing that feedback loop with the injections, the supplementary testosterone and the estrogen blocker, you can stop that as well.
- 31:10Speaker 2: Usually, we encourage like hey, it's all probabilities right, everybody's body reacts a little bit differently.
- 31:15Speaker 2: We encourage doing like a post-cycle therapy, effectively like somebody who's doing steroids doing the same thing just to stimulate your natural production.
- 31:22Speaker 2: But it actually is a combination of HCG which is one of the medications we prescribe with testosterone therapy and peptide therapy, so that just again gets the follicle stimulating and luteinizing hormones going again, and then again they're back to where they were.
- 31:38Speaker 2: Most people, though, don't want to stop.
- 31:40Speaker 2: They feel good, it's something you can do indefinitely and do safely, and so they're like hey, let's just keep continuing with it, and I've been doing it for seven years.
- 31:47Speaker 2: I don't intend on stopping.
- 31:49Speaker 1: Yeah, yeah, that's awesome.
- 31:50Speaker 1: Um, it's good to hear that it's like it's.
- 31:52Speaker 1: It's safe and it's not gonna like ruin your hormone system.
- 31:55Speaker 1: You know what?
- 31:55Speaker 1: I mean correct yeah pituitary gland testes, all those like um, because it's so intricate, you know what I mean.
- 32:00Speaker 1: They all communicate.
- 32:01Speaker 1: These levels are low, so we kick this up or this is bad, they kick this up and they work together, you know, know, yeah, it's just, it's super intricate, you know.
- 32:09Speaker 1: So it's good, it's safe.
- 32:11Speaker 2: Yeah, and you got to monitor blood work too, like we do so initial blood work six weeks out and then every six months.
- 32:17Speaker 2: I mean you've got to, you've got to check in on those things because stuff can change.
- 32:20Speaker 2: Your body can react to medication one way.
- 32:22Speaker 2: You know, year one, year two, it may be a little bit differently.
- 32:26Speaker 2: So you've got to be continuous on getting the blood work done, checking it, monitoring levels and making sure that everything's working properly.
- 32:32Speaker 1: Yeah, so for medical weight loss includes all that together.
- 32:37Speaker 2: So medical weight loss is kind of a adjunct I guess would be the best word of hormone replacement therapy.
- 32:46Speaker 2: So the medical weight loss medications are a peptide, but they're a GLP one.
- 32:50Speaker 2: They're not like a GHRP, which is a growth hormone releasing peptide, um, so their function is is actually developed, um for type two diabetes, super effective and helping getting their uh a one C down, which is a marker of of of diabetes or blood sugar of the last three months.
- 33:07Speaker 2: So they would.
- 33:08Speaker 2: It helps get their blood sugar down.
- 33:10Speaker 2: But it also, as a unintended side effect which helps, um, it helps to curb cravings.
- 33:16Speaker 2: It helps to reduce portion sizes, sizes, so it slows down the digestion process to where you feel fuller longer.
- 33:23Speaker 2: So people that are overeating right, that's usually how people get there in the first place right, they're eating junk and they're eating too much of it the cravings are reduced, right, they're no longer craving the chips or the cookies or the, even the alcohol, which is really cool, oh, interesting.
- 33:37Speaker 2: Yeah, yeah, it's, it's very cool.
- 33:39Speaker 2: Like they they I've had multiple people like I don't want to drink anymore, like that.
- 33:42Speaker 2: That's a good thing.
- 33:43Speaker 2: Yeah, we're happy to hear the win, right right, that's a win.
- 33:46Speaker 1: That's good.
- 33:47Speaker 2: Um, and then the their portion sizes get smaller.
- 33:51Speaker 2: So we have, of course, coach them through it, like, hey, you've got to, you could just take the medication.
- 33:58Speaker 2: You change nothing else.
- 33:59Speaker 2: You're going to lose the weight.
- 34:00Speaker 2: But this is an opportunity for you to establish good habits, because you don't have the cravings, your portion sizes are going to be smaller.
- 34:07Speaker 2: Like this is not.
- 34:09Speaker 2: You can't take this drug forever.
- 34:10Speaker 2: This isn't.
- 34:10Speaker 2: But if you do this wrong, you just take the medication, keep eating crap.
- 34:14Speaker 2: You'll lose the weight because you're going to eat less of the crap, but when you stop taking the medication and your appetite comes back, you're going to gain it all right back.
- 34:25Speaker 2: So we kind of coach our clients through on, like, how to do it properly.
- 34:28Speaker 2: Um, and taking the right amount of medication is important.
- 34:30Speaker 2: To like some clinics you'll go to like hey, just follow this standardized schedule.
- 34:33Speaker 2: Every four weeks you go up, and in some cases that's appropriate, but a lot of times, um, you know there are some negative side effects associated with these medications.
- 34:42Speaker 2: Just so happens those negative side effects are the same side effects somebody would have, uh, if they were struggling with anorexia.
- 34:49Speaker 2: They're not eating, gauntlet, muscle wasting, killing their metabolism, et cetera.
- 34:53Speaker 2: It's like okay, so we know that we need to take enough of this medication for it to be effective.
- 34:59Speaker 2: But you can't take so much that you're just not eating, because again you'll lose weight but all those negative side effects come with it.
- 35:04Speaker 2: You're killing metabolism.
- 35:05Speaker 2: The second you stop taking that medication, your appetite comes back, your metabolism in the dumps.
- 35:14Speaker 2: You're storing everything you're eating.
- 35:15Speaker 2: Weight comes right back.
- 35:16Speaker 2: So coaching them through it how to do is really important.
- 35:17Speaker 2: Yeah, um, is this ozempic?
- 35:17Speaker 2: Is that what you're talking about?
- 35:18Speaker 2: Yeah, so ozempic, wegovi, monjaro, those are kind of those are the brand names.
- 35:22Speaker 2: The chemical names are uh, the two popular ones are semaglutide and terzepatide semi-glutide and terzepatine Semi-glutide.
- 35:26Speaker 1: Yep, I had a patient that came in dabbling in semi-glutide and he was having I've never heard of somebody dabbling in semi-glutide before and this individual was having a lot of muscle spasms.
- 35:40Speaker 1: Interesting and pain, you know, and I was like let's blink this together Like what's been?
- 35:44Speaker 1: Did you change anything?
- 35:45Speaker 1: I'd never met the guy right.
- 35:46Speaker 1: The dude came in and um was just checking him out.
- 35:49Speaker 1: He's a really bad hip pain and um, anyway, I was.
- 35:53Speaker 1: Is anything?
- 35:53Speaker 1: What's changed?
- 35:54Speaker 1: Why, all of a sudden, is this hip pain coming about?
- 35:56Speaker 1: You know, did you do a bunch of box jumps and squats or something Like no-transcript?
- 36:18Speaker 1: Been dehydration for sure too, or just lack of malnutrition?
- 36:21Speaker 1: But have you noticed that in some of the studies or other clients have come to you guys from other places that side effects with semi-glutide?
- 36:31Speaker 2: So we haven't had a ton that have come in, because, fortunately, I'd say I don't want to say most but a good portion of clinics, healthcare clinics that are doing medical weight loss are doing it properly, but occasionally we will.
- 36:43Speaker 2: You know, if people come in, they're like I don't want.
- 36:46Speaker 2: They'll hear the side effects, right.
- 36:47Speaker 2: They'll hear this muscle wasting and gaunt.
- 36:49Speaker 2: Look, they're like I don't want to look like a skeleton.
- 36:51Speaker 2: It's like all right, we got to keep eating.
- 36:53Speaker 2: Same thing we tell our gym clients.
- 36:54Speaker 2: It's like, guys, you can't lose weight sustainably for a long time just by starving yourself.
- 36:59Speaker 2: Yes, you will lose weight, but it's not healthy, terrible on the body, and the second you start eating, either you got to starve yourself for the rest of your life or the second you start eating you're going to gain it back and so you're going to be this yo-yo of weight.
- 37:15Speaker 1: So we encouraged them like do it right.
- 37:16Speaker 1: You know, I remember in college, um, later years that was taking a nutrition class, right, I was a biology major but and we did, we dabbled in some nutrition classes.
- 37:23Speaker 1: That was just really cool.
- 37:24Speaker 1: It's more of a hobby, right, like nutrition is like a hobby for me.
- 37:26Speaker 1: I think it's really interesting, cool.
- 37:27Speaker 1: It's not what I do, but it's like for my own personal health and suggestions to people.
- 37:32Speaker 1: You know, yeah, um, but anyway I was asking this new our professor and I was like what if?
- 37:37Speaker 1: What?
- 37:37Speaker 1: Like weight loss, what if you just like worked out, deprived of food, then wouldn't you just like immediately go into your fat storage and just like work off your fat faster?
- 37:46Speaker 1: You know, like eating, like working out, bonked, you know like their term, bonked, like yeah, you were like hungry, you know, and like kind of light-headed.
- 37:53Speaker 1: You know I get really light-headed if I don't eat enough.
- 37:55Speaker 1: Yeah, um, and she's like definitely not a great idea.
- 37:58Speaker 1: You know it's not safe.
- 37:59Speaker 1: And anyway she was describing like your body for that moment of physical exertion is going to start grabbing anything that can for energy and the glycogen stores in your muscle tissue is the first thing that goes for the muscle and it goes for the muscle tissue itself.
- 38:13Speaker 1: So you're literally like eating your own muscle tissue to have the energy to work out.
- 38:18Speaker 1: So you're not going to get like the support you need for muscle growth, but then you're also not going to dive in your fat storage anyway.
- 38:24Speaker 2: Yeah, I wish I knew that, I wish I'd known that earlier, cause I was always into, like you know, you go to the gym early in the morning, fasted workout, right, I'm burning fast, yeah, and I'm like I was kind of stuck for a while.
- 38:33Speaker 2: I'm like I'm not, I'm not really burning any fat, right, I'm not any leaner, I'm not any bigger.
- 38:38Speaker 2: I feel like I'm kind of going the opposite direction and Like you got to have, you know, got to have some nutrition to burn through, yeah, otherwise it's eating your muscle and that's not good, it's a stalemate.
- 38:51Speaker 1: But anyway, I was like, oh well, there you go, makes sense, cool, won't do that anymore.
- 38:54Speaker 1: Yeah, exactly, awesome man.
- 38:58Speaker 1: So explain orthobiologics.
- 39:00Speaker 1: So orthobiologics.
- 39:03Speaker 2: It's really the area of regenerative medicine that focuses on joint repair, medicine that focuses on joint repair, so there's a thousand like.
- 39:15Speaker 2: I've been at this for a few years and researching the hell out of it and I'm barely scratching the surface.
- 39:18Speaker 2: You know, I met with a guy up in Jupiter.
- 39:21Speaker 2: His son had leukemia.
- 39:22Speaker 2: He was treated with stem cells and cured of leukemia with stem cells, like.
- 39:25Speaker 2: So there's there's so many applications for it, right, and that's that's one of the only approved treatments in the U S.
- 39:29Speaker 2: It has to be through certain hospitals, but it's like there's so many applications for it.
- 39:33Speaker 2: You know you can do it from an anti-aging perspective via IV infusion just to go in, and the stem cells are cool Cause they seek out and heal right inside of your body.
- 39:43Speaker 2: What's needed, yeah, so, from gut, organs, joints, you know, soft tissue, et cetera, um, but the thing we're kind of getting into that I'm really excited about is more of the joint injections, right.
- 39:54Speaker 2: So I'm somebody you know, played sports, exercise a ton like, have a ton of knee, hip, shoulder, spine issues that just kind of come with being a tall, big, big human and being active, sports and stuff.
- 40:06Speaker 2: Yeah, exactly, um, so been through surgery, had some success, had some that weren't successful.
- 40:12Speaker 2: And through uh exosomes, right, it's like you're able to get this healing that didn't exist otherwise.
- 40:21Speaker 2: Like it's those are really good, the orthobiologics exosomes um Wharton's jelly et cetera really good for uh chondral defects.
- 40:29Speaker 2: So cartilage cartilage, yeah.
- 40:31Speaker 2: So bone on bone joints that are, you know, knees.
- 40:34Speaker 2: Really knees and shoulders are like the optimal um spine.
- 40:37Speaker 2: There's not really a lot of good applications for it.
- 40:40Speaker 2: Like you think about what it's going and doing.
- 40:42Speaker 2: If it's healing damaged tissue right In the knee, you're going.
- 40:45Speaker 2: It's repairing cartilage and helping build cartilage back.
- 40:47Speaker 2: But you're trying to do the same thing for a bulging disc.
- 40:50Speaker 2: It's not going to suck the disc back into the vertebral column, right, like it's not going to do that.
- 40:54Speaker 2: So there's certain applications for it.
- 40:56Speaker 2: But long story short, there's a lot of different applications for it.
- 41:00Speaker 2: Like there's a hundred directions you can go with it.
- 41:02Speaker 2: We're really focused on the anti-aging.
- 41:04Speaker 2: So doing it via IV drip for anti-aging purposes, holistic healing and then joint injections for orthopedic issues.
- 41:12Speaker 2: Interesting, what's the difference?
- 41:31Speaker 2: Exosomes into your knee, for example.
- 41:34Speaker 2: It's got to recruit your own stem cells to go in there and start getting to work and repairing it.
- 41:37Speaker 2: It also provides some structure so that once the new cells are built for, let's say, cartilage in your knee, the second you step on them, they're not just going to dissipate and go wherever.
- 41:47Speaker 2: Right Gotcha.
- 41:49Speaker 1: That's kind of how they work.
- 41:49Speaker 1: I've talked at length about something that was exposed to me like a grad school was really cool, where bone on bone I hear that because, as a sports physical therapist, orthopedics, we see orthopedic musculoskeletal injuries.
- 42:05Speaker 1: That's what we do, that's what you do, yeah, so we hear patients come in or defeated or hopeless and, like you know, I got bone on bone and so I'm effed, you know, and I'm like that might not be true.
- 42:16Speaker 1: Right, there's a lot of.
- 42:18Speaker 1: There's some studies that have exposed, with repetitive exercise and resistance training, which causes micro compression for your joints, which is necessary, it stimulates synovial fluid recruitment and production, which is micro compression for your joints, which is necessary, it stimulates synovial fluid recruitment and production, which is the nutrients for your joint, your cartilage, which imbibes in the cartilage because they're they have no blood supply, right, yeah, so they're a neural and a vascular, so it's like the healing potential is absent, right, for cartilage, so it's like all right, well then, it's a degenerative, progressively worsening situation that can't get better, like once it reaches a level it can't go up any better, right?
- 42:50Speaker 1: Well, apparently it might not be true.
- 42:52Speaker 1: Right, where, like progressive resistance exercises, it doesn't cause pain or inflammation or irritation, the body's going to adapt, right, it's going to stimulate more synovial fluid production.
- 43:04Speaker 1: But then also, what I think they're suggesting is finding in the research is growth of cartilage from the subchondral bone up.
- 43:11Speaker 1: So imagine, if you like.
- 43:13Speaker 1: So what they've done is they've done studies with people where they take like an MRI If someone's bone on bone in their knee Arthritic changes.
- 43:20Speaker 1: Arthritic changes happen over many, many years, and then they do exercise routines and physical therapy and stuff for a year, right, eight months minimum, pre and post MRI.
- 43:30Speaker 1: What's your cartilage look like now?
- 43:31Speaker 1: Right, or exercise, we would imagine it's probably more broken down, right, it's worn out more, and actually it's the opposite.
- 43:38Speaker 1: Wow, they find that the cartilage is thicker, more brilliant and vibrant.
- 43:42Speaker 1: Brilliant, vibrant, apparent are like the adjectives they would use for cartilage livelihood, right, vibrocy, and it's thicker and less brittle versus control groups, like I don't want to do anything, I don't want to hurt my joints.
- 43:54Speaker 1: They're actually more brittle and thinner cartilage than it was prior.
- 43:58Speaker 1: So it's like the thought of being like well, you can run and exercise and lift weights and squat and lunge, but there's a life shelf to your joints and the more that you do, the quicker you're going to break things down.
- 44:09Speaker 1: So it's a give and take and like, you want to look good or not and muscular, but you're going to break things down.
- 44:13Speaker 1: It's making it worse.
- 44:13Speaker 1: Actually, it might not be true.
- 44:16Speaker 2: That's awesome, yeah, which is great, right, which is, honestly, until I'm having this conversation, that was kind of my mindset.
- 44:20Speaker 2: Oh really, yeah, I was like grinding through it as the years goes on if I'm not moving 100% properly.
- 44:24Speaker 2: So now that it's ground through at some points, that's it.
- 44:35Speaker 2: That's a new baseline, and then from there.
- 44:36Speaker 1: You can keep working if you want to.
- 44:38Speaker 1: It's like what do you want?
- 44:39Speaker 1: So if that's the case, then don't exercise.
- 44:43Speaker 1: Let's just live in floating swimming pools then, and not lower joints, and then we'll preserve our joints as long as possible.
- 44:55Speaker 1: It's actually not true.
- 44:55Speaker 1: I'll set dude, I'll send you all these articles.
- 44:56Speaker 1: Yeah, please do.
- 44:56Speaker 1: That's awesome, it's really interesting.
- 44:57Speaker 1: So anyway, with that being said, I'm like dude.
- 44:58Speaker 1: The key is to stay active, and if you don't use it, you lose it, which is totally true, but it could be regained again.
- 45:03Speaker 1: So it's not like it's too late, um, but it's.
- 45:05Speaker 1: It seems like an appropriate level of compression on purpose for your joints, which is resistance training, gravity training, right, like weights, right, appropriately.
- 45:14Speaker 1: They're not going to cause pain or irritation and more inflammation.
- 45:17Speaker 1: That would break things down for sure.
- 45:18Speaker 1: That's actually going to build and fortify cartilage growing from the subchondral bone going up, because that's where the blood supply is, and it's going to feed it in up, from down to up.
- 45:28Speaker 1: That's where the blood supply is and it's going to feed it in up from down to up, um, and the synovial fluid that gets built and then imbibing nutrients from the synovial fluid from the top down, and it's a, it's a double uh benefit, and then over several months, like I'm like a year.
- 45:40Speaker 1: You know what I mean?
- 45:41Speaker 1: Yeah, I was like, okay, I worked out for a month as my cartilage back it's like, dude, it's going to take a little time because this is a long process, but doing that over a period of a year where it's going to take a little time because this is a long process, but doing that over a period of a year where it's like I actually feel good.
- 45:51Speaker 1: Oh, yeah, we do this all the time with our patients where they have bone-on-bone knees or shoulders or low back and it always hurts.
- 45:56Speaker 1: Yeah, it's like we can do these exercises right, joint mobility stuff and some exercise and like they leave like I actually feel better than when I came in.
- 46:04Speaker 1: Yeah, it's like what if?
- 46:04Speaker 1: If we apply that mindset and that result every time that you come in over multiple, multiple weeks, right, when you feel better every single time, like it would be unreasonable to think that in three months you wouldn't feel significantly better.
- 46:18Speaker 1: Keep that same trajectory for a year.
- 46:20Speaker 1: That's where you see the cartilage results.
- 46:22Speaker 2: Absolutely.
- 46:22Speaker 2: It's funny, I, I, I didn't know what to attribute the science to until again we're having this conversation.
- 46:28Speaker 2: But I can think of periods where my shoulder was really flared up and like I, just I couldn't do anything and I finally like forced myself, like hey, just go back to you know, doing super lightweights and just get it moving and and gradually over time, without any surgical intervention, like it started feeling better, right?
- 46:46Speaker 2: Same thing with my knee, like, like, obviously there's certain things I can't go and, you know, try to lift as much weight as possible overhead or, you know, do a lot of impact on my knee but like, within reason, it's like a certain level of activity makes it feel better, yeah, which is awesome.
- 46:59Speaker 1: So a hundred percent totally agree with that, and that's what we, that's what we do and advocate for.
- 47:03Speaker 1: And then on top, we'd be like, in the meantime well, if your shoulder is hurting, right, there's a reason, things don't hurt for no reason.
- 47:14Speaker 1: We can identify some compensation issues and what the angry tissue that's people usually want to know is like.
- 47:15Speaker 1: What's the angry tissue?
- 47:15Speaker 1: What's hurting right?
- 47:16Speaker 1: Well, it's probably your this rotator cuff tendon or this bicep, you know your bicep tendon, whatever anterior, the capsule plays a role.
- 47:21Speaker 1: Yeah, that's what hurts, but like, but why, though?
- 47:23Speaker 1: Right, it's probably because it's over compensating for something else and the altered mechanics cause it compensations and get those things lit up.
- 47:29Speaker 1: Those structures are getting lit up Right, so we can work on these compensation issues and joint mobility compensations and muscle recruitment, activation compensations, and then work out on top of that and then trajectory progress appropriately through that.
- 47:42Speaker 1: So it's like you're fixing the compensation that we'll do in the first place and also building and fortifying the joint and the tissues and all those things, without effing up in the meantime.
- 47:50Speaker 1: Here's where people get in trouble, though, people like us.
- 47:52Speaker 1: You, you're right there.
- 47:53Speaker 1: It's like ah, eff it.
- 47:55Speaker 1: I'm just frustrated.
- 47:55Speaker 1: I want to do what I want, right.
- 47:57Speaker 1: And then they just do it anyway and they power through and then they just like light stuff up again and I take like five steps back.
- 48:04Speaker 2: It was like, well, can't do it, I'm eff you know it goes back to that consistency and compliance conversation, the lay gratification I have.
- 48:10Speaker 2: We have clients at the gym all the time and I was guilty of it for years and it was like you know, it's kind of uh, built into us and we're playing sports as kids, right, fight through the pain, right.
- 48:19Speaker 2: No pain, no gain, push through it.
- 48:21Speaker 2: And uh, you know, if clients like, oh, I, you know my shoulder, they'll tell me.
- 48:25Speaker 2: You know, a week before, a couple weeks ago, I've been having shoulder issues.
- 48:28Speaker 2: And then I see them the next week, they're doing, you know, like push press or something overhead, like, hey, what happened?
- 48:35Speaker 2: They're like, oh, I really want to do it.
- 48:36Speaker 2: I'm like guys like being fit is about being able to work out consistently, right, right, if you are injured you can't work out.
- 48:42Speaker 2: So work, let's work around this for a couple of weeks, let the inflammation go down.
- 48:45Speaker 2: Go see kyle like you gotta get get worked out and then then we'll get you back.
- 48:50Speaker 1: Yeah, I'm doing push press again you know that, um, and for me personally too, same boat, you know I'll be like I'm gonna do it anyway, and then it would just light up, you know, and part of that was because, like, my self-identity and value was placed on, like what's my bench max, yeah, or my squat max, if I'm weaker then, therefore, I'm like less of a man, I'm not as valuable as a person.
- 49:13Speaker 2: Yeah, exactly what are you doing now?
- 49:15Speaker 1: It's like I'm not, yeah, don't even care, Um, I still get asked that question all the time.
- 49:19Speaker 2: Like I haven't, I haven't 15 years man, I have no idea.
- 49:24Speaker 2: Why are you concerned?
- 49:26Speaker 1: it's like why?
- 49:27Speaker 1: Why would you be concerned about that?
- 49:28Speaker 1: That's probably a better question, you know I mean.
- 49:30Speaker 2: And and people start to realize as they get older, it's, it's, it's all about looks anyways right.
- 49:34Speaker 2: Like it's obviously being healthy.
- 49:35Speaker 2: But like your, your performance from a uh you know how much weight can you lift?
- 49:40Speaker 2: Like I see guys at the gym that are just absolute monsters and they'll never pick pick up more than like a 30 pound dumbbell.
- 49:45Speaker 2: Yeah, totally, they have 135 on the bench just cranking them out.
- 49:48Speaker 2: Yeah, it's kind of phenomenal yeah, I respect that.
- 49:51Speaker 1: Yeah for sure.
- 49:51Speaker 1: Um, but anyway, so I had to like redefine what that definition of working out was.
- 49:57Speaker 1: And yeah, production, you know, it's like well, I messed around, I didn't actually work out because I didn't do power, clean, squat, deadlift and bench, you know, and yeah, and I'm also like way weaker and that's things too, so like it didn't really count, you know.
- 50:09Speaker 1: So I had like redefine what I consider to be a workout and then also like aligning with like well, what do I really want?
- 50:15Speaker 1: And what you just said, that's what we see a lot of our patients.
- 50:18Speaker 1: So I'm like, dude, I get it Right.
- 50:20Speaker 1: I know exactly what you're talking about.
- 50:21Speaker 1: I just don't want to hurt anymore.
- 50:23Speaker 1: Number one, cause I just don't want to hurt so that I can like just get up and go to Publix or play with my kids in the front yard, go for a run, if I want to.
- 50:36Speaker 2: I just don't want to hurt anymore.
- 50:37Speaker 2: Having kids is the best thing in the world, man.
- 50:38Speaker 2: They just like bring you back down to earth.
- 50:39Speaker 2: It's no longer about you, it's in same thing, like I before kids.
- 50:42Speaker 2: It's like you want to be just this paragon of fitness right and like it's pushed through whatever pain you got.
- 50:48Speaker 2: Like wait a second, I can't run around the yard with my kid.
- 50:51Speaker 1: Yeah, like we need to change something yeah, totally cool, um, and then so and I was talking about this before with somebody like there's this.
- 50:58Speaker 1: I've got to be careful what you say on instagram.
- 51:00Speaker 1: Of course, some things I really like and I engage with, like it's cool and I take for motivation and I seek out legitimacy behind some of these things.
- 51:08Speaker 1: But anyway, there's this dude, there's this guy in his garage working out.
- 51:10Speaker 1: I'm like, okay, here's another garage workout post and it was him front squatting like 95 pounds and he's like.
- 51:16Speaker 1: I don't want to do any more than that.
- 51:18Speaker 1: He looked fit, he looked good, he's like I feel good and I don't want to hurt at the expense of just like getting my pr up.
- 51:25Speaker 1: You know which.
- 51:27Speaker 1: You could probably progressively get more into that, but it's like.
- 51:29Speaker 1: But my values, my goals, are set somewhere else because, like, like, I want to be able to play with my kids and like, I'm not concerned about the size of my quads or my my front squat max.
- 51:38Speaker 1: Yeah, that's not the goal.
- 51:39Speaker 1: My goal is to like, I want to be good, healthy and legit and like fit, but be able to like, do x, y and z with kids, my family and all this stuff and not be in pain.
- 51:47Speaker 1: You know I was like I love that.
- 51:49Speaker 1: I high five.
- 51:50Speaker 1: You know that's me.
- 51:51Speaker 1: I've like I'm that moment.
- 51:53Speaker 1: I was like I've decided that's me, you know.
- 51:54Speaker 2: Yeah and uh.
- 51:55Speaker 2: My wife Talia, who's is an absolute beast in the gym, Um, but she, she has the approach of like always check your ego at the door, right, and that's something that the Hugh culture is big on, um, and it's really, it's just like you don't that.
- 52:13Speaker 2: That's, that's the downfall for all of us, right?
- 52:14Speaker 2: It's like having to perform a certain way, having to PR, having to look a certain way, and she's always taken the mindset of like, hey, I know what I can do, I know what I can't do, I don't have to prove anything to anybody.
- 52:24Speaker 2: And it's ultimately why she is such a phenomenal athlete and performs so well in the workouts but also is healthy at the same time.
- 52:32Speaker 2: For the amount now of physical exercise and the intensity that she does it at that, her body is still in such great shape joint-wise.
- 52:43Speaker 2: Obviously, physically she's in great shape, but I'm saying from an orthopedic standpoint, like, must you know?
- 52:46Speaker 2: Tissue and all that stuff, it's incredible.
- 52:49Speaker 2: But it's because she listens to her body, she knows like, hey, this is what's important.
- 52:53Speaker 2: I want to, I want to look good, I want to feel good, I want to be active with my kids, and she knows all three of those and that could be achieved without maxing out every day.
- 53:01Speaker 1: Yeah, and you're talking about like the synergy and the link between like this would be a great adjunct to the orthopedic treatments.
- 53:18Speaker 1: You know what I mean?
- 53:20Speaker 2: Um, no, it's great.
- 53:20Speaker 2: It's great in the chiropractic and physical therapy space as well.
- 53:22Speaker 2: Um, there's actually some protocols for it's like anything.
- 53:30Speaker 2: The upside of orthobiologics is there's no pain, right, there's downtime, there's not that crazy inflammation and bracing and all that stuff.
- 53:36Speaker 2: You can do bracing if you want to be really over the top about it, but there is time you got to take off, right, there's downtime.
- 53:42Speaker 2: You can't go in, and I think it was on the Joe Rogan podcast.
- 53:46Speaker 2: He's talking about getting his knee done right With stem cells.
- 53:48Speaker 2: Like you can't go back.
- 53:49Speaker 2: The first time he did it, he went back and started, you know, kicking the bag, um, for martial arts, like a week later and it didn't work.
- 53:57Speaker 2: I called the doctor.
- 53:58Speaker 2: Hey, it didn't work.
- 53:58Speaker 2: He's like well, what'd you do?
- 53:59Speaker 2: He's like yeah, I was active on it, but you can't, you can't be super active.
- 54:06Speaker 2: And then he started a physical therapy regimen.
- 54:08Speaker 2: Afterwards.
- 54:09Speaker 2: Had great results, Right, and so it's a combination of the two.
- 54:12Speaker 2: Like anything, right, Same thing with surgery.
- 54:14Speaker 2: After surgery, you got to go to physical therapy, Otherwise your results are going to be severely damaged.
- 54:18Speaker 1: So I didn't know that.
- 54:19Speaker 1: Like, what's the expectation then doing orthobiologics like this or exosomes is?
- 54:23Speaker 1: We have to be light on the.
- 54:26Speaker 1: We have to be light on our feet for six weeks.
- 54:28Speaker 2: Yeah, so ideally, I mean if, if you really can, um, taking four to six weeks of non-weight bearing would probably be ideal.
- 54:34Speaker 2: Um, but understanding that's pretty hard to do and unrealistic.
- 54:39Speaker 2: You can, you can walk right, but you shouldn't be doing any impact, shouldn't be kicking a, kicking a, a weight bag, um.
- 54:45Speaker 2: And then for shoulders, same thing.
- 54:47Speaker 2: It's like normal kind of day-to-day activity and the shoulders tend to have better outcomes, like the success rate's really high, but shoulders are even higher because they're not load-bearing right.
- 54:56Speaker 2: So that indicates like, hey, for four to six weeks, while the structure's being set up in there, the stem cells that you've recruited with exosomes are doing their thing.
- 55:03Speaker 2: You're allowing it to really heal and the structure to take place and to adhere.
- 55:06Speaker 2: Because if you're going out and starting to back squat 300 pounds next week, everything in your knees that's in there is just going to ground, to dust, and it's who knows where now in your body.
- 55:16Speaker 1: Yeah, yeah, understood, that's interesting.
- 55:18Speaker 1: That's a good point to make.
- 55:18Speaker 1: Yeah, just for the expectations going into it.
- 55:21Speaker 1: Yeah, well, that's awesome, man, well, I think.
- 55:23Speaker 1: Oh, the last one, um, prp, and you mentioned PRP, microneedling.
- 55:28Speaker 1: Yeah, that's aesthetics, so that's on the aesthetic sides.
- 55:31Speaker 2: Yes, so the microneedling is literally.
- 55:33Speaker 2: It's a, it's like a pen and it has a little needle that goes in and out.
- 55:36Speaker 2: You numb the face first, you don't feel it.
- 55:38Speaker 2: Um, you can do just microneedling, which is just going to help with overall radiance of your skin, which is really cool, gotcha.
- 55:57Speaker 2: So it's, it's interesting, like we're doing.
- 55:59Speaker 2: It wasn't intentional, we got into it, but we're using regenerative medicine on ortho side and on the aesthetic side, but they're both super effective and have great outcomes Interesting.
- 56:09Speaker 2: Yeah, that's really cool Um yeah, Facial aesthetics was never anything on my, on my.
- 56:18Speaker 2: It honestly wasn't on mine and I hadn't had a facial until we opened our our clinic and I did my first one.
- 56:21Speaker 2: I was like, oh, there's a reason why women go and get these done all the time, Cause my, my skin was like instantly better and I've been keeping up with it.
- 56:28Speaker 1: You're just, you're glowing, I don't know why, oh, thanks, I just you know that's funny man.
- 56:34Speaker 1: Um, well, dude, that's awesome.
- 56:36Speaker 1: I appreciate you um sharing more about this stuff and coming in.
- 56:39Speaker 1: I know you're a busy dude, you know I appreciate you having me man Totally.
- 56:42Speaker 1: If people want to reach out, um, what's the base that they can, they can hit you up.
- 56:45Speaker 2: So we're on Instagram at the fountain WPB, like West Palm beach, um, and then they could email hello at the fountain WPBcom or give us a call.
- 56:53Speaker 2: Uh, five, six, one, three, two, zero, three, one, four, two Cool.
- 56:57Speaker 1: Simple, yep, awesome, easy, um.
- 56:58Speaker 1: And if y'all have any questions for us, if you're battling issues or pain, comments about podcast topics, whatever, we're always open to suggestions and a commentary.
- 57:12Speaker 1: But the best way to reach out to us is our phone number at 561-898-8725 or email at team at athlete rccom.
- 57:20Speaker 1: So definitely reach out, always open stuff.
- 57:22Speaker 1: Thanks again for coming in, man, thanks for having me appreciate it.
- 57:24Speaker 1: We'll catch y'all next time.