What If Looking Better Helps You Live Longer with Mary Kelly

Brad (and Hugo) sit down with Mary Kelly from Omnia Integrative Health and Med Spa to separate signal from noise, by starting with a simple summer problem most of us get wrong: when to apply sunscreen and why sweating changes everything. From there, we get into what Mary actually does day-to-day as a registered nurse, aesthetic injector, and certified nurse health coach and why not so accurate social media marketing creates confusion around skincare, supplements, and quick-fix promises.

We go deep on aesthetic medicine with a safety-first lens: what Botox really does, how “preventative Botox” works by reducing repetitive facial movement, and why filler is a totally different category with higher stakes. Mary breaks down collagen stimulation, modern filler techniques that aim for natural movement, and the importance of anatomy training, including her most recent cadaver lab work. We also talk red flags to watch for when choosing an injector (obviously use Mary to get the best results), what can go wrong, and how good practices include explaining risks and inviting you back for quick tweaks if something looks off.

Then we pivot to the wellness side, including GLP-1 medications like semaglutide and tirzepatide, why they’ve been around longer than people think, and why the best outcomes require medical supervision, body composition tracking, protein, and resistance training to protect muscle and reduce the “GLP-1 face” look. Mary also shares the lab work many patients never get through standard insurance panels, including fasting insulin for insulin resistance and ApoB for cardiovascular disease risk, plus how vitamin D and B vitamins fit into a smarter preventive medicine plan. We close with longevity topics like perimenopause, menopause, and safer hormone replacement therapy options that prioritize metabolic health first.

If you got value from this, subscribe, share it with a friend who’s overwhelmed by health advice, and leave a review so more people can find the show. What topic should we bring Mary back to tackle next?

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Welcome to The Brad Weisman Show, where we dive into the world of real people, real life, and everything in between with your host, Brad Weisman! 🎙️ Join us for candid conversations, laughter, and a fresh take on the real world. Get ready to explore the ups and downs of life with a side of humor. From property to personality, we've got it all covered. Tune in, laugh along, and let's get real! 🏡🌟 #TheBradWeismanShow #RealPeopleRealLife 

Credits - The music for my podcast was written and performed by Jeff Miller. 

Transcript

Sunblock Mistakes And A Warm Welcome

SPEAKER_00 0:00

According to, and here we go. This is gonna be a good one, Hugo. The Brad Wiseman Show. Real people, real life, and everything in between. So, what do your kids think of this?

SPEAKER_02 0:10

Oh, they are so embarrassed.

SPEAKER_00 0:12

I'm not here for the money, but I'll still take it. I'll still take it. Unfiltered conversations with the people shaping our world. Because you're judging yourself by your intentions, they're judging you by your actions. Exactly right. You know, my wife said to me, You go to work and you give everyone the Mitchell buffet, and you come home and you give me the scraps. And now, your host, Brad Wiseman. All right. You know what, Hugo? What is it? I feel like it's been a long time. It's been so long. I mean, I mean, I think people know we record the shows by now. They know it's not live, and that's okay. The secret's over. The secret's over. But you know, I I had we had a good, like, I think, couple weeks that we've been kind of off. Yeah. Did you enjoy your time?

SPEAKER_02 0:53

Yes. Relaxing.

SPEAKER_00 0:54

Away from me. Is that what you're trying to say? I enjoy my time away from him. No, but you know, I was just up at the U.S. Open uh over the weekend, and this is just a good segue into the guest we have today, because I was at the the event, and it was really cool. It was up in Long Island at uh Shinnikok uh golf golf course. They gave you sunblock as you came in. American Express actually was handing out sunblock to everybody, which is really cool. And I get up there, I grab this little bottom, thinking I'm gonna put this on right away. Of course, you get up to the the golf course and you you get kind of carried away, and all of a sudden later on, I'm like kind of I can feel I'm a little fried on the far head. And every week I get more far more far head than I had the week before. That wasn't supposed to be that funny, by the way. But I do, I get more forehead. And so it was it was hot. So I finally put the sunblock on, and then I applied it again, applied it again, and and you know, it was probably a little too late because I think you're supposed to do that beforehand or after. Well, we have somebody here that's gonna tell us a little bit about that. She was on before. Her name is Mary Kelly, serves an Omnia med spa and integrative health. Is that what you're using now?

SPEAKER_01 1:58

Health and med spa.

SPEAKER_00 1:59

Integrative health. So I had I had it backwards. Oh my god. Well, there's all these different terms you guys use. It's unbelievable. So welcome back to the show. Come up there on the mic microphone just a little bit more, just so we don't we can hear everything you say. So, what the hell did I do wrong with the sunblock?

SPEAKER_01 2:14

You didn't reapply.

SPEAKER_00 2:15

I did though, later on. I did because I was sweating.

SPEAKER_01 2:18

What time did you start? And what time?

SPEAKER_00 2:19

I started an hour after I should have. Okay. Should I put sunblock on before?

SPEAKER_01 2:25

About 15, 30 minutes ago.

SPEAKER_00 2:26

That's what I thought. See, that's very screwed up. Because when I was putting it on, I'm putting it over sweat as I'm putting it on.

SPEAKER_01 2:31

Right.

SPEAKER_00 2:31

Which is probably not a good idea.

SPEAKER_01 2:32

Yeah, you should have dry skin for sure.

SPEAKER_00 2:34

Dry skin for sure. Okay. So there we go. That was what she's here for. All right, show's over. No, I'm just kidding. No, but welcome back.

SPEAKER_01 2:41

Thank you. Yeah, we had so much back.

SPEAKER_00 2:43

Had so much fun the last time. Yeah. And we I learned a lot. I really did.

SPEAKER_01 2:47

Yeah. Yeah. There's a lot. There's a lot to learn.

SPEAKER_00 2:49

There is. There's so much going on in your field. Yes. Aesthetics are are huge today. We we all want to look younger, even though we're older. We all want to look healthier, as healthy as we possibly can. For sure. We're told so many things. The other thing I got to say too, and and we'll get started on some of the stuff we want to talk about, is we are bombarded with everybody's opinion of what the right thing is to do.

SPEAKER_01 3:12

Right.

SPEAKER_00 3:13

Do you you do you see that too, obviously?

SPEAKER_01 3:15

Oh, there is. I mean, we are, you know, we are being thrown marketing all day, every day.

Mary Kelly’s Background And Why Marketing Confuses Us

SPEAKER_01 3:20

And the incredible marketing that is out there really impacts the health industry a lot.

SPEAKER_02 3:25

Yeah.

SPEAKER_01 3:25

So it's it's a common thing. People come to me and they're like, I don't know what to do because I'm being thrown, there's so much information being thrown at me. Take this supplement or do this skincare or do this or do that. And it's really not complicated. You're just the victim of marketing.

SPEAKER_00 3:39

Amazing.

SPEAKER_01 3:39

Yeah.

SPEAKER_00 3:40

So here, let's let's just tell people why you're qualified to be here. I think it's a good thing to know. You know, if if I'm going to a house and trying to sell a house, people want to know how, what's your experience? What do you what do you have? So tell me what you what what are your qualifications to to be talking about this this stuff?

SPEAKER_01 3:55

So a lot, really. I mean, I've been in medicine a long time. I'm getting I'm getting up there. So 26 years as a registered nurse.

SPEAKER_02 4:02

Oh, that's awesome.

SPEAKER_01 4:02

I have my master's in education. I have been a type 1 diabetic for 27 years. I'll tell you, that's probably where I learned the most in my own journey.

SPEAKER_02 4:11

Wow.

SPEAKER_01 4:11

I've been in aesthetic medicine for eight years. I train other people how to become injectors. And then I've just had so much training in lifestyle medicine. I'm a certified nurse health coach. So, and this is what I do, right? So I live a very boring life outside of work because I'm very passionate. So I don't watch TV. I just I read and I read and I research and and I just really enjoy it. It's it's such a passion for me. So, you know, while other people might be sitting back and watching true crime or something like that on TV, I'm like reading some new research study on, you know, the effects of GLP or something like that.

SPEAKER_00 4:48

That's cool.

SPEAKER_01 4:48

Because I really like to know what I'm talking about to help guide people through these things.

SPEAKER_00 4:52

You're a student of your craft. I mean, that's I mean, and I think that's across anything that you do. I mean, Hugo's always learning about audiovisual and all the things he does in marketing, you know, realtor-wise, 30 some that's what you have to do. Right. I mean, people will, if you give up or you think you're the expert at any point in your career, you're done. You might as well just pack it up and move to Key West, which would not be a bad idea. I'm trying to think if that maybe is the way to go. You know, you might as well pack it up because nobody's gonna want to hear you anymore because you're not relevant to what's going on in the world, uh, in in your in your craft.

SPEAKER_01 5:23

So ego is a big thing.

SPEAKER_00 5:26

Absolutely. Absolutely.

SPEAKER_01 5:27

Yeah, I have I have no ego in this. Like I I am always, and I say it all the time, I am always a student. I bring injectors in who have less experience than me to do trainings. Like, I don't care if there's somebody who's willing to come in and we collaborate, I'm a big collaborator. And so you just always have to be the student and not assume that you know everything or try to prove that you know everything. Yeah, because you'll never be the best.

SPEAKER_00 5:50

Yeah. Well, it's since we're talking about injecting right away, we we were gonna we thought it was gonna go a different pathway, but we're gonna go right into the injection thing. Injecting. I think it's funny that that's the term that became the right term. I know. To me, I every time I hear the word injector, I it just blows my mind that that's the term that your industry came up with saying, you know what's gonna sound friendly? Injecting.

SPEAKER_01 6:11

Right.

SPEAKER_00 6:12

It just doesn't sound friendly.

SPEAKER_01 6:14

I know. It really is.

SPEAKER_00 6:14

Is there like pamper? Could you use the word pamper the skin? Could you like dude? Like something. Somebody's gonna come up with something at some point. Don't you think? But what was the term before? It was just Botox.

SPEAKER_01 6:25

Well, Botox is kind of the name that everybody uses. It's a brand name.

SPEAKER_00 6:28

It's a brand, like Kleenex is a brand.

SPEAKER_01 6:30

Exactly. And so, you know, it's a great name, though. It really is a great name. It leads to a lot of confusion sometimes, but it's a great name. But no, there is no better word. Like that is what we are called. We are called nurse injectors. Um, if you went to aesthetician school as well, you can be a nurse aesthetician, aesthetic nurse, something like that.

SPEAKER_00 6:48

Sure.

SPEAKER_01 6:48

But no, we caught we say nurse injectors.

SPEAKER_00 6:50

Yeah, so has anything changed in that in that industry? I think it's been six months, eight months, or it's maybe a year. Has it been a year?

SPEAKER_01 6:57

Yeah, probably about I can't remember. Yeah, probably.

SPEAKER_00 6:59

So you know it's interesting. So has has things have things evolved? Is there something that any different now?

SPEAKER_01 7:04

Well, it's been evolving. It's been evolving. Regenerative medicine has been evolving for the last few years where we talk a lot more about collagen stimulation. So any sort of aesthetic medicine really needs to take like a multimodality approach because aging happens on so many different levels. Right. So if you're just treating the muscle with a toxin like Botox, you're only hitting one point of aging.

SPEAKER_00 7:28

Oh, interesting. So when we're so there's preventative, because that that's not preventative, is it?

SPEAKER_01 7:33

It can be preventative. It can be. Yeah, and the way it's preventative is that what creates lines and wrinkles over time are repetitive facial movements. So if you're frowning in between your eyebrows, and I would show you, except that I can't. I'm like, that skill has been going a long time.

SPEAKER_00 7:51

So you mean like this?

SPEAKER_01 7:52

Like that. Yeah, you can't do it. Which I don't do a lot of.

SPEAKER_00 7:55

I have a lot of smile wrinkles, hopefully.

SPEAKER_01 7:57

Right. Well, a lot of people do, right? Because that's a good sign. I always tell people when they have crow's feet, I'm like, look, it just shows you're very happy and you smile a lot. But that repetitive, you know, muscle movement is what creates the line. So if you relax those muscles and you can't repetitively create

Botox Basics And What “Preventative” Means

SPEAKER_01 8:10

that expression, then it's going to weaken that muscle over time, which is actually a good thing. It is. So there's most muscles you want to strengthen.

SPEAKER_00 8:16

Wait a minute. So over time, you do this, it it will actually get to a point where it doesn't have the same, it doesn't have the same muscle reaction.

SPEAKER_01 8:25

Right. Well, your muscles weakened like anything, right? You put a cast on your arm and you're not using that muscle, it atrophies. So it's the same thing. So if you're not using your forehead muscle, then it starts to atrophy. So a lot of times, you know, what we'll see is that, you know, for me, for example, I've been doing it for 10 years. Like I've been getting it myself even before I was an injector. Even when it's all worn off, I don't have any lines of my forehead at rest. And that's because for all these years, I haven't really been able to.

SPEAKER_00 8:52

You know, I'm gonna keep looking at your face as you say this. Just so you know. I I have to. So imagine I'm looking at your forehead. I'm looking at your forehead, I'm like, yeah, so it basically, so you so even if you didn't have injections at this point, it would probably kind of stay the way it is. Yeah, at rest. At rest.

SPEAKER_01 9:06

I'd be able to move the muscle, but at rest, I wouldn't have lines.

SPEAKER_02 9:10

Interesting.

SPEAKER_01 9:10

So yeah, you can do it a lot of different ways. Some people are like, I want to be on it, I want my forehead to look perfectly smooth, like a skating rink all the time, every day.

SPEAKER_02 9:17

Skating ring.

SPEAKER_01 9:18

And yeah, and then there's other people who are like, I just like to treat myself every six months. And I say, There's no wrong way to do it. There's really not.

SPEAKER_00 9:24

Right, right.

SPEAKER_01 9:25

So it just depends on what your goals are.

SPEAKER_00 9:26

How do you know when you've overdone?

SPEAKER_01 9:29

Well, it's not even overdoing it. Filler, I would say, is a different conversation about overdoing.

SPEAKER_00 9:35

That's like the lips and the and the cheeks.

SPEAKER_01 9:37

You know, depositing product into your skin. And so that's changed a lot. Do you have any of that there? I do actually.

SPEAKER_00 9:43

Because you look down, I'm like, she's got skinny.

SPEAKER_01 9:45

No, I'm always looking. So this is RHA redensity. So I really like the RHA line. There's a lot of fillers out there, and there's a lot of really good ones. This is one of the latest ones. So it's a dynamic filler, so it stretches, so it looks a lot more natural. Interesting. And there's a lot of different types, and so it's called G prime. So it's kind of like the thickness, the rheology of it, like how long it stays, how stiff it is, all of that.

SPEAKER_00 10:06

Is that what they use for the lips and stuff like that? Or no? Yeah, yeah.

SPEAKER_01 10:09

So this would be this would be a product that I would use in the temples, in the lips, sometimes just kind of like fine lines if I want to go very superficial under the eyes. So any area where you want to go really superficial, and then there's really thick fillers that you would put in the chin and the jawline and the cheeks and things like that to recreate.

SPEAKER_00 10:26

And I've seen the cheeks like where they look like kind of like this. Like they look like balls are underneath there.

SPEAKER_01 10:31

That was, you know, they probably were either victims of filler from a long time ago. Does the filler stay? It does. So the aesthetic result typically people will say lasts about a year. But under MRI, you can see filler for like four or five years after somebody gets it done. So that's why you have to use very little bits strategically placed. Right, right. So when I'm doing filler on someone, unless I'm doing a lot of volume replacement, I'll use like something like this. This is like radius. So this stimulates collagen, but it also fills. But when we dilute it, we can kind of feather it into the tissue. And then like about a month or two after getting it, you'll see collagen. So it's not as harsh.

SPEAKER_00 11:08

It's not as harsh then. It kind of like blends in.

SPEAKER_01 11:11

Without the saline, it's a very, very stiff filler, the stiffest. But when you but when you when you hyperdilute it, it does more of a collagen stimulation and a little bit of filling at the same time.

SPEAKER_00 11:20

Amazing.

SPEAKER_01 11:21

So there's a lot of science behind this. It doesn't get enough credit. You know, people often people will, you know, oh, I want to get trained to be an injector. And then they'll go through the training and they're like, I had no idea.

SPEAKER_02 11:31

Right, right.

SPEAKER_01 11:32

I did not know it was this involved. And I said, it is very serious medicine.

SPEAKER_00 11:36

Yeah.

SPEAKER_01 11:36

And you have to know your anatomy inside and out. So our training focuses on that.

SPEAKER_00 11:41

You could really screw somebody up.

SPEAKER_01 11:42

Absolutely. Yeah.

SPEAKER_00 11:42

Like permanently screw somebody up.

SPEAKER_01 11:44

You could with filler for sure. If you don't know what you're doing, like that's why our training is so anatomy focused. You know, and I had done a cadaver training.

SPEAKER_00 11:53

So hence Stanley, who is over here, she brought him along to talk to us about how he feels about this stuff being put in his face. But no, you said you just did a cadaver. Like you a human head, a real human head. Yes. Thank God, everybody. She decided not to bring that into the studio. No, no.

SPEAKER_01 12:09

And of course, out of the respect for the person who was working. Absolutely. So I said a lot of prayer.

SPEAKER_00 12:13

So people actually have they've decided, hey, when I die, we're gonna use my head. Right. Or any part of our body.

SPEAKER_01 12:20

I don't think that, you know, they don't know exactly what it's going to be.

SPEAKER_00 12:25

But it's used for science.

SPEAKER_01 12:26

It's used for science and to, you know, safely be able to perform procedures on people.

SPEAKER_00 12:30

So what did you learn?

SPEAKER_01 12:32

I learned a lot of it I knew, and I'm not saying that like I have to know these things because I teach other people, but to see it, to visualize. And then also it's being run by this incredible plastic surgeon, probably one of the best on the East Coast doctor, Jason Bloom out of Brynmar. Brilliant, brilliant plastic surgeon. And so he also was telling us about like injection techniques and practicing what plane of the tissue we're in. And I mean, it was just, you know, priceless.

SPEAKER_00 12:58

Yeah, very cool. Yeah, very cool. It's like anything. I think you know, you you can you can learn uh all the things that are underneath the skin, but until you probably see it and get there and look at it, it's like, whoa, okay, this is a little different than I thought. It's it's maybe connects differently than I thought, or is is yeah, it's wild.

SPEAKER_01 13:14

It is wild. It's so useful. It's really, really useful in keeping people safe. So it's so it doesn't have to be dangerous. Yeah. You know, the reality is like with filler, you can cause a vascular occlusion, meaning that you block blood for blood flow in a vessel. And so that's the biggest concern. Right. But we have the medicine to treat it. So it's very unless there's an injector who's ignoring the symptoms or not listening to their patient when the patient's saying, This is what I'm experiencing, it's very reversible. I probably have performed at this point in my life between 10 and 12,000 injections.

SPEAKER_00 13:46

Oh my gosh.

SPEAKER_01 13:47

And so it's happened to me twice.

SPEAKER_00 13:49

Wow.

SPEAKER_01 13:50

Yeah. One time was bad judgment on my part, it was when I was a younger injector, and the other time it was very much a fluke. Both made full recoveries.

SPEAKER_00 13:56

Unbelievable. That's incredible. And the honesty is great. I mean, that shows you how you learn too. You're honest about it. You have to.

SPEAKER_01 14:02

We focus a lot on screening vascular occlusion.

SPEAKER_00 14:04

So we we were talking about before we went on, we started recording, we were talking about the the myths. Yes. Let's get into the myths. Let's talk about the myths that you hear out there. Because I always I it's like anything, I always think a myth, there's a reason for it.

SPEAKER_01 14:18

For sure.

SPEAKER_00 14:19

Okay. Uh, and it's an opinion. So what do you feel are the myths and and how can we how can you say, you know what, that myth, yes, it's out there, but let me counteract that. Or let me come up with let me demyth it.

SPEAKER_01 14:31

Right, right. D demystify or demystify.

SPEAKER_00 14:34

Yeah, whatever.

Filler Science, Safety Risks, And Anatomy Training

SPEAKER_00 14:35

Let's let's let's talk about that.

SPEAKER_01 14:36

So I think that, you know, if we're talking about aesthetic medicine, there's yeah, one major myth. And then if we're talking about wellness, there's one major myth. I think when we're talking about aesthetic medicine, it's that this is about vanity. And so the reason that this myth was created, because for some people it has become that, because they've gotten, they went too far down the rabbit hole. And maybe it did cause some body dysmorphia. But you have to remember like anything negative about how you feel about your appearance is when it starts to impact your life in a negative way. Like you it impacts your relationships, your job, you know, all of these different things. That's when those things, like anything in life, that's when they become something more pathologic.

SPEAKER_02 15:15

Yeah.

SPEAKER_01 15:16

But we as humans should care about our appearance. It is completely part of whole body wellness.

SPEAKER_02 15:22

Yep.

SPEAKER_01 15:22

And so that's the book that I brought today. And I laugh about this book. And and my if my dad sees this podcast, he's gonna really get a kick out of this. So my dad was a big philosopher and artist and also a cop. He was a he was like a walking customer.

SPEAKER_02 15:35

All over the place.

SPEAKER_01 15:35

So anyway, he made me read this book when I was 10 years old. I read a lot of books like this at a very young age. So, anyway, this was a zoologist, Desmond Morris, in the late 1960s, and he spoke about how, you know, human nature is really animalistic nature. We see this in all of the different species. And so basically, we were given this innate, I don't want to say ability, but this innate drive to look good, to appear well, because it's survival of the fittest, right? So when you're looking for a partner and things like that. Of course, that has evolved, but that is part of human nature. So when we treat someone with injections, like you, you know, and every injector has seen this, you might do Botox on them for the first time. The next time you see them, they're working out. The next time you see them, they have a new job. The next time, it's a positive feedback loop. So you cannot treat the whole person without addressing aesthetic medicine. You really can't.

SPEAKER_02 16:32

Right.

SPEAKER_01 16:32

Because if you look in the mirror and you're like, I look old and tired, you internalize that. Sure. And then you're walking around, I am old and tired. I can't go to the gym. I am old and tired. Why even bother? I am old and tired. So when you reverse that and you give someone just a little bit, a little bit of improvement, it could be a 10% improvement, that stimulates that whole positive feedback.

SPEAKER_00 16:51

It's just like exercise. I mean, I there's days, I mean, I obviously don't exercise a whole lot, but when I do in the mornings, I try to do like a two and a half mile walk.

SPEAKER_01 16:58

Right.

SPEAKER_00 16:59

The mornings I miss that, it's a completely different feeling the rest of the day.

SPEAKER_01 17:04

For sure.

SPEAKER_00 17:05

You know, because a lot of times what I do on my on my walks too is I listen to motivational people and inspirational stuff, all that. So I not only do I do the walk, I'm feeding my brain and I'm feeding my body some type of movement, you know, and it makes a big difference for that whole day. It's incredible what that does for the day. Huge. So that's and that's you're saying. So if you look in the mirror and you see all the wrinkles and things like that, you're you're saying that if you can, if you can change that a little bit, it'll maybe spur on of, you know what? Damn it, I look pretty good today.

SPEAKER_02 17:32

Right.

SPEAKER_00 17:32

That kind of a feeling, and you're like, all right, then it makes the rest of your day better, or you maybe want to work out more, or you maybe want to eat better, things like that. That's cool.

SPEAKER_01 17:39

Yeah, and there's a lot of science behind it. This is not just, you know, anecdotal, like there's a lot of data behind this. So yeah. So I would say that's probably the biggest myth in aesthetic medicine. I think in wellness, it's that disease is inevitable. Right. So dying of old age is inevitable. Dying of disease is not inevitable.

SPEAKER_02 17:59

Right.

SPEAKER_01 17:59

Leading causes of death, the majority of the leading causes of death are all preventable.

SPEAKER_02 18:03

Yeah.

SPEAKER_01 18:04

We know exactly how cardiovascular disease happens. We know exactly how it happens, and we have all the tools in the world, we have all of the information, yet it's still the leading cause of death around the world.

SPEAKER_02 18:15

Yeah.

SPEAKER_01 18:15

So we're not doing something right. So we focus on that a lot at our place where we we really I know we're med spa, but we do a lot of preventative medicine. And so, you know, we're really kind of educating people like it, it doesn't have to be this way. And this is what we can do to get you in a better, healthier place.

SPEAKER_00 18:34

So a lot of it's psychological then, too. Like it's the whole, I would think, right?

SPEAKER_01 18:37

I mean Well, the pillars of health, you know, yeah, absolutely are obviously physical health, your mental health, your social health, your spiritual health. Like, you know, these are all it all comes together. Absolutely. Yeah.

SPEAKER_00 18:47

So that's interesting.

SPEAKER_01 18:48

Right.

SPEAKER_00 18:48

So what do you so if somebody's looking to go get Botox done, obviously they should call you. But if if if they're Especially if you're married to them. Oh boy, I know where that's I know where that's going. I'll talk to her. But no, but so if somebody is looking to do that, what are the things like obviously come to you? That's that's the general but is there like any kind of signs you're like, you do not want to go to that person, or you don't want to go to somebody that says this, or somebody that is willing to do this.

SPEAKER_01 19:17

Some red flags.

SPEAKER_00 19:18

Red there, thank you. Red flags, red flags. Good one, good one.

SPEAKER_01 19:22

That I haven't thought about. Red flags will be inexperience, red flags would be not explaining what they're doing, why they're doing it, not explaining the risks, not giving you the opportunity to come back and maybe tweak a little. Every time my client leaves the door, I say, Don't walk around with a rogue eyebrow. Because sometimes if it doesn't absorb well on one side or the other, your one eyebrow could pop up. And I say, You come back, it's no charge. We pop it, it takes 10 seconds. We'll fix it.

SPEAKER_00 19:50

You could fix that?

SPEAKER_01 19:51

In 10 seconds.

SPEAKER_00 19:52

Uh what okay, what kind of eyebrow is this again?

SPEAKER_01 19:55

Well, we call them spot brows. Oh, do this? Yeah, because if you relax certain parts of the muscle, other parts will engage and work more. So it's really a balance of that would be my freaking luck.

SPEAKER_00 20:06

Seriously. My luck would be I'd have all I'd have my face be doing all kinds of weird stuff.

SPEAKER_01 20:10

Honestly, it's fixed in 10 seconds.

SPEAKER_00 20:11

Like you can so you just you just counteract it.

SPEAKER_01 20:13

Yeah, exactly. You but you have to know your muscle anatomy, and you have to know not just the muscle anatomy, but you have to really understand depressor and elevators, and you know, there's a lot to know about it, you know. So yeah, they have to have had good training and and good experience for sure.

SPEAKER_00 20:29

Wow, that's cool. And so you basically say to them, look, if it's not right, come back. Yeah, yeah, we'll make it right.

SPEAKER_01 20:33

It's it's you know, we try to make it a perfect science, but it's not always, and you have to get to learn how somebody's muscles react, not a different thing.

SPEAKER_02 20:38

Because everybody's the same, right?

SPEAKER_01 20:40

Yeah, and everyone's muscles like there's six different types of frontalis muscles. So, I mean, you the pattern, you can't do one pattern, it doesn't work for everyone. So you have to kind of know the anatomy and the science behind it.

SPEAKER_00 20:51

Very cool.

SPEAKER_01 20:51

It is very cool. It's a really fun industry to be in.

SPEAKER_00 20:54

Yeah, it's really cool. I and I I I think it's great. I mean, uh not for me yet. Maybe at some point I'll do it. I'm too much of a baby. But let's get into the the thing that I mean, obviously we talk hear about all the time. The GLP ones. You know, and I have you know many friends that take it. I think it's great for it's great for people that if they have obviously some serious health things going on. Absolutely. I had a guy on here, I forget where he was from, but he was on, he's he's big on it. I mean, he's big on the microdosing, big on all that. And he thinks that at some point, this was a a quote a thing that he said when he was on, was that he feels that at some point a large part of the population will be on some type of a GLP with the peptides or whatever, right?

SPEAKER_01 21:33

Sure, let's hope so.

SPEAKER_00 21:34

Because he said of the benefits of that it that it has.

SPEAKER_01 21:37

Yeah, he must do his research.

SPEAKER_00 21:39

Oh, he he's pretty, he's written a bunch of books on it, stuff like that. I mean, he's he's pretty out there, he's pretty well knowledgeable about it. But but my thing was, you know, are these things I said this to him too. They're kind of is it new or no? Is this stuff new? So do we have to always have to worry about Botox? That stuff's been done for a long, long time. We kind of know, kind of know where we're going with that. It's been proven it it kind of It works and there's really no bad things about it. But these GLP ones, you know, you got a lot of people on these things. Are they what's what's your opinion on it?

SPEAKER_01 22:08

2005, first GLP.

SPEAKER_00 22:10

2005. So they've been around for a while. And it and it's so it's been around.

SPEAKER_01 22:14

It's gone better and better.

SPEAKER_00 22:14

Yeah.

SPEAKER_01 22:15

Yeah. So it just kind of like as the technology got better, or the I would say the formula. Yeah. Technology, the formula got better and the symptoms were able to be managed a lot better, then it kind of became hmm.

SPEAKER_00 22:27

The symptoms were a big thing.

SPEAKER_01 22:28

They were a big thing. And they still can be. With semaglutide, you know, you can still get some pretty severe GI symptoms. They just get better and better. The way I like to think of GLPs is the antibiotic of our century, right? So infectious disease.

SPEAKER_00 22:41

Interesting that's a good way to look at it. Yeah, great way to look at it.

SPEAKER_01 22:43

Infectious disease, one of the leading causes of death for centuries and centuries until what 1928, the antibiotic. So it changed everything. For us, most of our leading causes of death are behaviorally related and related to insulin resistance and cardiovascular disease. This drug impacts the majority of the leading causes of death. And so if we can change that, crazy. I mean,

Debunking Vanity And Disease Myths

SPEAKER_01 23:05

what like what the sky's the limit. But if you don't do it the right way, yeah. And I will say, and I don't say this for my own self and to have people, you know, do it through us or my way or whatever.

SPEAKER_00 23:16

Yeah.

SPEAKER_01 23:16

It has to be medically supervised.

SPEAKER_00 23:18

Oh, yeah. I mean, I I I don't how any any drug that you're on or anything you're doing should be supervised.

SPEAKER_01 23:24

Yeah, how that's kind of, and that's where it really got its bad reputation. But like in our program, you meet with me to for nurse health coaching monthly.

SPEAKER_02 23:33

Sure.

SPEAKER_01 23:34

So we have a physician assistant, we're physician-owned. So they do all the prescribing, and then they meet with me monthly. We check their body composition. You must, if you are prescribing GLP medication, you must have a body composition machine. It is, it changes because of the muscle. Because you can see where they're losing body fat. And we have the conversation when people come in, we're like, so it actually shows you where they're losing muscle? Yeah. Like we'll compare month to month and be like, you're losing a little muscle.

SPEAKER_00 23:59

Face is the big one that I see.

SPEAKER_01 24:00

It is, you're superficial fat.

SPEAKER_00 24:02

They call it GLP face or whatever. The the peptide.

SPEAKER_01 24:04

No, but it doesn't have to be that way. It really doesn't. Like we don't have a lot of that with our clients at all because think of it this way if you are filling space with muscle while you're losing fat, you know, that's a positive thing. It's a little bit trickier in the face, right? But when the the reason that it works better in the face with exercise and doing things the right way is remember, exercise is really good for skin health because it increases, you know, your tissue perfusion in your face. What does the blood bring? All of the growth factors, elastin collagen fibrant, all the things you need to maintain good skin health.

SPEAKER_00 24:37

Right.

SPEAKER_01 24:37

So often, you know, exercise is a piece of that. So how do you do your face?

SPEAKER_00 24:41

You said how do you because I've seen people pretty drawn.

SPEAKER_01 24:44

Yeah, because it's it's a slow process. So if you lose the weight too fast to not eating enough protein, you're not exercising.

SPEAKER_00 24:50

So the muscle goes away in the in your face.

SPEAKER_01 24:52

Yeah. No, I would say the muscle is more for the rest of the body, but in the face, like I said, that's more of a rapid weight loss, and that's more of like you're not exercising, you're not getting that good blood perfusion to the tissue and things like that. Okay. So will you lose some, you know, fat loss? Will you have some fat loss in your face no matter what you're doing? Yeah, most people will have some. It's just not as dramatic.

SPEAKER_00 25:12

Shots or micro or the microdosing with the with like pills. Is it what about the pill micro dosing?

SPEAKER_01 25:16

Is that what that is, or is that well, pills really only have like a 0.4 to 1% absorption rate, like bioavailability, the shots are 90%.

SPEAKER_00 25:23

But don't you think it'll go there or no?

SPEAKER_01 25:25

You think eventually if they can make it where it's absorbable, I mean a sublingual version, like sublingual, you can absorb a little bit better. But the shots, I mean, anything really injectable is going to you're you're bypassing the GI system. So, you know, it's going to be much more effective that way.

SPEAKER_02 25:40

Interesting.

SPEAKER_01 25:40

But no, I think that this medicine is the greatest medicine that we've seen in a really, really long time. It's amazing.

SPEAKER_00 25:46

And I'm hearing that we're hearing that a lot. Every time we have somebody on that has anything to do with the GLPs or or anything like that, it it they say the same thing. It's a common, it's a common thread.

SPEAKER_01 25:56

Honestly, I have seen women, men come into my practice like that, started out morbidly obese, and I'm not even exaggerating bikini this summer in a year's time.

SPEAKER_00 26:07

See, look, there's the there's hope for me. You go, I might be able to be on a bikini by the end of the summer. Oh no, it's it's always been out of reach. Always. But even when I was skinny, it's amazing.

SPEAKER_01 26:19

You know, it's great, it's cool. Yeah.

SPEAKER_00 26:21

And what and what it's uh it's just neat to see that, you know, I I keep waiting for the other the foot to f you know, foot to fall on that on, and it's it just seems like everybody's very positive about it. And I think it's great.

SPEAKER_01 26:30

Yeah, it's been around a long time. So it's not like this is brand new stuff.

SPEAKER_00 26:34

But what made it come to the forefront?

SPEAKER_01 26:36

The formula changes. Okay. You know, like I said, like being able to make the formula where it was a little bit more manageable. And now these ones that we have are are changing, right? So semaglutide GLP, trzezepatide, GLP, GIP, retotrutide that's coming out is gonna be GLP, GIP, and glucagon. So it's just that, and that's gonna be even better. So I want to say semaglutide maybe like a 15% body fat loss, trzezepatide around 25%, and now with retotrutide over 30%. Wow. But with the bone, you know, trzebatide and retotrutide are gonna be a little bit better with that muscle preservation and things like that too.

SPEAKER_00 27:11

Amazing. So a lot of tide things going on in there. I hear a lot of tide at the end of each thing.

SPEAKER_01 27:15

Yes, yes, all the tides.

SPEAKER_00 27:16

Yeah, all the tides are coming in. They're all coming in. The tides are coming in. So let's go into there's some different things we had on here too. We talked about the facial aging aging. What's this fat pad descent? What is that? So the they basically I even wrote on here, what the hell is this?

SPEAKER_01 27:35

So again, you know, talking about the cadaver lab, you know, you have your your skin layer. Underneath you have your superficial fat layer. Underneath that, you have something called your semass retaining ligaments,

GLP-1 Meds, Real Benefits, And Supervision

SPEAKER_01 27:45

and then your deep fat and then the periastenum and bone. So that superficial fat is the fat you can move on your face, right? Oh yeah, deep fat you can't. It's like plastered against the bone. So you can't move that, and that doesn't change a lot with aging. Superficial fat will start to descend because as your, you know, ligaments and muscles weaken and all of that, like that, there's not much holding it up, plus you're losing it as well. And so that will kind of start to fall down. So that's when you see, sorry, that's when you see like the face start to like sink down in it or like that. That's the superficial fat pad sinking.

SPEAKER_00 28:17

I saw a girl on social media that I know, and she had she did something with her eyes and ears. They put something in there.

SPEAKER_01 28:22

Maybe like a fat transfer? Yes. Yeah, so they can take fat transfer, like fat from another part of your body and inject it into your face.

SPEAKER_00 28:27

And then that works. That kind of it looked amazing. Like she after like after like eight weeks, she looked, it looked really good.

SPEAKER_01 28:33

It's great. Yeah, it's yeah, amazing. I mean, there's a lot out there. There's a lot. I always tell people when they come in, I say, how much does it bother you, how much you want to spend? And then I can kind of create a treatment plan around that. But if you're coming in and saying, I only have this much to spend, I'm like, look, I can really do something with that. But like we can't get the mountains. You know what I mean? So you have to have realistic exercise.

SPEAKER_00 28:53

So let's talk a little bit about that, and I won't make you quote any prices. Has it she's like, oh shit. No. Uh no, has it has it become more affordable?

SPEAKER_01 29:02

Depends on where you are.

SPEAKER_00 29:03

Because Botox used to be any of any actually any of this stuff used to be for the rich and famous.

SPEAKER_01 29:09

Right.

SPEAKER_00 29:10

I mean, period. You heard Hollywood do this stuff all the time, got this stuff done.

SPEAKER_01 29:13

Is it has become a little bit more I guess it has in a way as more brands have come out.

SPEAKER_00 29:21

Competition.

SPEAKER_01 29:22

My my feeling is that we keep our prices as always as we do because I go back to the companies. Like I go, I don't, I don't just say like, I always say to people when they tell me something I don't want to hear, I go, I don't accept that. So you know, they'll be like, this is what it costs. And I'm like, I don't accept that. And so we just pass that on to our clients. So it's beneficial for us because people will come to us because they're like, oh, good, I can, and they can do more because they're not emptying their bank account just to do forehead botox. They're like, okay, now I can afford to do a toxin treatment and a little bit of filler and this, and and they end up looking better, they're happier. It's just all around, you know, a better thing.

SPEAKER_00 29:56

Yeah, I just I just you know, because you know, like I said, it used to be the rich and famous. So yeah, obviously that there's there's some type of affordability that has has has gotten better. Right.

SPEAKER_01 30:05

And people prioritize it more.

SPEAKER_00 30:06

Yeah, that's the other thing, too. Yeah. Yeah, because you could spend it on this or spend it on that. Instead, you're gonna go, oh, you know what? Maybe I won't get my nails done every week. I'll do it every two weeks, and I'm gonna do this in between. Or I'll do, you know, whatever. That that makes sense.

SPEAKER_01 30:19

I spend a lot of time. I don't even know what it costs.

SPEAKER_00 30:21

My wife is smart enough to let me not to not tell me any of the costs on any of this stuff.

SPEAKER_01 30:25

She's I'm telling you she pays too much.

SPEAKER_00 30:29

This is gonna be good. So, Jess, this show is for you. Yes, yes, but no, let's talk about some of the other stuff here. Let's the wellness labs, nobody talks about it. Let's talk about the wellness part, the vitamin D deficiencies, the insulin resistance, inflammation, the what the other thing is, Apo B, whatever that is.

SPEAKER_01 30:44

Oh man, talk about that.

SPEAKER_00 30:45

Let's get in, let's get into some of that because we're actually we're up on 30 minutes here. We can go a little bit more, but uh then we'll obviously gonna have to have you come back. Right. Because you've got all kinds of ideas here of what we can talk about. So let's talk about this, the the lab that nobody talks about.

SPEAKER_01 30:58

Yeah, let's that's a really great topic to talk about because we get this a lot. I went to my doctor, I had all the labs done, they told me everything is normal. And then we look at that lab panel and we're like, well, this was missed, this was missed, this was missed. It's not the physician's fault. I'm not putting down physicians, it's the insurance model. The insurance companies are telling them what to order and what not to order. So, what we can do as being cash pay is that we can add the tests that really matter. So, insulin resistance, by the way, is a huge problem, and that's the cause of a lot of this dysfunctional, you know, metabolic pathways that we see, metabolic syndrome, if you've heard of that.

SPEAKER_00 31:36

Let's explain insulin insulin resistance as opposed to does that mean that has to do with diabetic type stuff?

SPEAKER_01 31:42

Well, it could eventually. So, you know, type 2 diabetes is a diagnosis code. So, you know, when you hit 6.4, you're deemed type 2 diabetic. Well, were you diabetic, you know, at 6.2? Yes. Were you insulin? Interesting. So type 2 diabetes is insulin resistance, right? It can start 10 to 15 years before that hemoglobin A1C gets to 6.4 and you get the official diagnosis. We've had 10 to 15 years of damage from insulin resistance on your body. We're not great at preventative health. We don't intervene aggressively, excuse me, aggressively enough and early enough, yeah, for sure. So insulin resistance is when you have too much or taking in too much energy, and then your body starts to not use it well. And so it'll store fat in the wrong places. So if you ever hear of ectopic fat, that's fat like visceral fat around your organs or fat that gets marbled into your liver, into your muscle. So muscle's a huge one. So insulin resistance is very successfully treated with these GLPs, by the way. But you don't really know from hemoglobin A1C how insulin resistant someone is. You have to check a fasting insulin. And you also have to do if the fasting insulin is high, meaning your body has to excrete so much insulin to keep up with the demand because your body's not using it well, then that's how we know. Like those beta cells are gonna poop out after a while because they're gonna get exhausted. And so that's when people end up having to go on insulin.

SPEAKER_02 33:09

Interesting.

SPEAKER_01 33:10

So yeah, I mean, these types of tests that get missed give us so much information. And so we can really turn someone's life around and make them feel better. You know, a lot of people

Facial Aging, Fat Pad Descent, And Natural Results

SPEAKER_01 33:20

will aimlessly supplement, and so checking something like a vitamin D, you're like, okay, if your vitamin D is normal, why are you taking vitamin D?

SPEAKER_02 33:26

Yeah, right.

SPEAKER_01 33:27

If you're by the way, nobody's is normal, everyone is low, so you know, but you can't oversupplement.

SPEAKER_00 33:31

Mine raised up a little bit from the weekend. I think I got some vitamin D. Yeah, my head was providing a lot of vitamin D on that day.

SPEAKER_01 33:38

And that makes a lot of sense, right?

SPEAKER_00 33:39

So But most of the time we're not getting, I mean, you have to have sun, right? You have to have some type of UVs to create vitamin D. Right. Which is for mental health, too.

SPEAKER_01 33:48

For sure. Vitamin D C is public health. Yes. Making testosterone. Yes. There's so much. Vitamin D is remaining a lot. Yes. If you want to increase your testosterone, then increase your vitamin. He's fine.

SPEAKER_00 33:58

He has a bunch of kids. He's good.

SPEAKER_01 34:00

Yeah. You're like, his levels are fine, we're sure. But yeah, so vitamin D, you know, and people tend to need less supplementation in the summer. But it's a hormone.

SPEAKER_00 34:09

And so vitamin D makes you feel better, period. It does. Absolutely.

SPEAKER_01 34:13

The ba the B vitamins, right? So if you're if you don't have enough B vitamins, your homocysteine goes up. So these are all these different really cool labs that we can test. And people like once we make the interven interventions, like we'll do only labs that we can take actionable steps on. So once we can take those actionable steps, people are like, oh my gosh, I've been going to my doctor for 10 years trying to figure out why I feel terrible.

SPEAKER_02 34:34

Yeah.

SPEAKER_01 34:34

And I feel good now. And I said, because we took the data, we made an intervention, and we fixed it. And so, you know, it brings us to the cholesterol panel, which is my favorite. I know we don't have a ton of time, but this is a lot of things.

SPEAKER_00 34:46

Yes, I get that done every six months or a year or something like that.

SPEAKER_01 34:49

All right. Well, get it done with me because you're probably not getting all the tests that you need within that.

SPEAKER_00 34:54

I get pretty many. I don't know.

SPEAKER_01 34:55

Well, they're not checking probably your APOB, right?

SPEAKER_00 34:58

So that one I don't that doesn't sound familiar. No. Because I would have seen that before. So what is APOB?

SPEAKER_01 35:03

So every, I'll explain for the top. When you get your cholesterol checked, they're checking the cargo. Okay. So let's think of cargo and trucks.

SPEAKER_02 35:10

Okay.

SPEAKER_01 35:11

So it's it's just testing the cargo. Apo B, all your bad particles that cause heart disease, they all have an APO B protein attached to them because they're not water soluble. So that to travel in your bloodstream, they need an APOB. The easiest way to measure how many LDL particles you have is to check APO B. They're the trucks on the road. Okay. So picture this. You have 300 milligrams per deciliter of cholesterol. You have three trucks on the road carrying that. There's not much risk of crashing into artery walls. Say you have 300 trucks on the road. Your risk just went up a bunch. This is a very oversimplified way of explaining it.

SPEAKER_00 35:45

I do like the truck and the cargo thing, though. It does help out with my simple, my simple brain.

SPEAKER_01 35:49

Mine too. It's very complicated.

SPEAKER_00 35:51

No, it means visual. It's very complicated.

SPEAKER_01 35:53

So APOB is the trucks on the road. So decreasing your risk of cardiovascular disease means taking trucks off the road.

SPEAKER_02 35:59

Interesting.

SPEAKER_01 36:00

Well, if you're not measuring the trucks, you might have a cholesterol of 199. Your doctor's like, you're good. What if you have 155 APOB particles and an excess of trucks on the road? You are not protected from heart disease.

SPEAKER_00 36:12

Interesting.

SPEAKER_01 36:13

So statin therapy is very beneficial in those situations.

SPEAKER_00 36:15

I don't have to ask about that because I think I'm going this week or next week, I gotta look at it.

SPEAKER_01 36:18

Might not be covered by your insurance, but you can ask.

SPEAKER_00 36:20

But I don't, and that's the kind of thing, like I get the calcium test done on my heart. Good. I get that done every I had it done. Well, it was done 10 years ago, then I just had it done recently. And it's not paid for

Labs Your Doctor May Not Order

SPEAKER_00 36:30

by insurance. Right. But I'm one of those people, like I said to him, is there something I can do to check to see how things are going, you know, as far as calcium. And it actually checked out very well. And I did add some from 10, 15 years ago. There's some added there. And he said that's kind of that progression does happen. But that's a test that's not covered. It was 250 bucks.

SPEAKER_01 36:48

I know it's worth it.

SPEAKER_00 36:49

Like, geez, like why not check your heart for something like that? And that just blows my mind. They'd rather you have a heart attack and pay for that than to see what you have going on.

SPEAKER_01 36:58

If the way was working, it wouldn't be the leading cause of death. So, really, honestly, I would say even more importantly than that is checking your APOB because calcium score, 15% error rate. It measures hard plaques, which hard plaques are pretty stable. If you have hard plaque, you probably have soft. So CT angiogram is the best, you know, more definitive way to look at plaque in your artist.

SPEAKER_00 37:17

I got more stuff to get taken then.

SPEAKER_01 37:18

Yeah. But the APOB is like it's it's just I'm gonna have to ask about that.

SPEAKER_00 37:21

And that can be done with the blood test.

SPEAKER_01 37:23

Absolutely. We do it, we do a panel, we do an incredible. I'm so proud of that lab panel. It is really research-based, it's amazing, and we get a lot of great information.

SPEAKER_00 37:31

And that's so different than the other stuff you do. Like to me, it is. Like you guys are definitely the integrative health, I guess that's where it's all about. But you're you're so like well-rounded with the whole thing, which is pretty wild.

SPEAKER_01 37:42

That's what my point in the beginning. Aesthetic medicine is very much a part of whole body wellness. And preventative medicine includes hormone replacement therapy, it includes GLP, it includes sometimes statin drugs, sometimes metformin. So, you know, pharmaceuticals get a really bad rap sometimes, which is interesting. You know, again, that's more, I think, of social media just kind of bad information spreading. Because the pharmaceutical pharmaceutical company has done a lot of great things. So terrible price gouging things, but they have changed medicine for sure.

SPEAKER_00 38:10

They've also extended the life of us. Exactly. Yeah, I mean, that's very important. Very important. Well, before we take off here, this is good stuff. What was the thing we wanted to do? There was something else here. Oh, let's just go into this real real quickly, just because it's it's good. The hormones, menopause, longevity, premenopause symptoms, why women gain weight or for just go through that a little bit and then we're gonna we're gonna we'll wait for the next show to do all the other stuff. Gotcha.

SPEAKER_01 38:33

So early hormone replacement is better because it again, you don't want to wait until you've had bone loss or you know, brain impact or cardiovascular impact before you start treating in perimenopause, which can go on a very long time.

SPEAKER_00 38:47

And this is for men too. Men men have hormone. Yes, exactly.

SPEAKER_01 38:50

Yeah, so we do both.

SPEAKER_00 38:51

So like pellets and do they do the pellets?

SPEAKER_01 38:53

We do not do pellets and injectables because there's a lot of risk that comes with that. And so as research comes out, we've learned that transdermal replacement for men and women is a safer way to go. Creams and patches.

SPEAKER_00 39:04

Get out of here.

SPEAKER_01 39:05

So much safer because you bypass the liver. And so risk of blood clots, risk of you know, elevated hemoglobin and hematocrit. Testosterone in a metabolically unhealthy person can be very dangerous, testosterone supplementation, because it kind of, if you think of it, it makes your blood a little thick and sticky. And if you have a lot of plaque, that's a problem. Yeah, so if you're doing hormone replacement and you're not checking somebody's metabolic house first, you know, that can be really dangerous. So that's why every person that walks in our door for wellness gets that lab panel.

SPEAKER_00 39:33

So you so you do for women and men, do you do okay absolutely, but all transdermal.

SPEAKER_01 39:37

Yeah.

SPEAKER_00 39:38

All transdermal. That's amazing.

SPEAKER_01 39:39

Yeah, and it's it's an important part of preventative medicine, especially for women.

SPEAKER_00 39:43

Yeah. Yeah. And let's talk about so you're saying that women, women gain weight after 40. So that's a big thing. They start to I think men do too. I think, I mean Right, right.

SPEAKER_01 39:50

You just metabolically um you have some decline for sure. You know, insulin resistance risk and stuff like that can go up as well. But, you know, there's a lot to be said for brain health. You know, we talk about Alzheimer's as an old person's disease. It's really starts in middle age. We just don't

ApoB Heart Risk And Safer Hormone Therapy

SPEAKER_01 40:05

see the symptoms yet. Right. But women are twice the risk. You know, they have that drastic estrogen loss in that, you know, stage of their life. And there's a lot of research showing that that's really why women are twice the risk. So we have to prevent the osteoporosis, we have to prevent the heart disease because cholesterol, you know, is very much related to hormones. You need it to make hormones. So there's, you know, the bone benefits, the muscle benefits, the brain benefits, the metabolic benefits, the mental health benefits. Awesome. Um, I'm sure I'm missing some, but so yeah, so it's we really take a look at preventative health, and all of these treatment plans are part of that.

SPEAKER_00 40:39

Wow.

SPEAKER_01 40:39

It's kind of like the perfect formula.

SPEAKER_00 40:41

It's awesome. Really cool. So we're gonna have to have you come back because there's there's a lot of stuff that we we missed.

SPEAKER_01 40:47

Yeah, like deep dives and yeah, there's all kinds of stuff.

SPEAKER_00 40:49

I'm just there was some stuff that that that these are just things that the other topics that we could bring up next time. We did talk about the Ozempic and all those things like that. We talked about menopause, but hair loss. I have a problem with that one. But the autoimmune disease, uh, the myths for more myths for Botox. So I think we're gonna have you come back on a regular basis and talk more about these things because I think it's important. And I think the people need to know what the myths are and how we debunk those myths, you know?

SPEAKER_01 41:14

Absolutely. So thank you for being here. Thank you.

SPEAKER_00 41:16

Yeah, it's awesome.

SPEAKER_01 41:16

It's always fun.

SPEAKER_00 41:17

Yes, very cool. All right, Hugo. You didn't even get to ask any questions this time.

SPEAKER_02 41:22

No, I was intrigued by the topic.

SPEAKER_00 41:24

I saw you. You're like thinking Botox. I can just see it. Yeah, I can see it. All right. Yeah, filler's and filler. That's right. All right, that's about it. Thanks for joining us every Thursday at 7 p.m. If you want to find Mary, how do we find you?

SPEAKER_01 41:36

Online. Online. Yeah. What's the give me the media healthmedspot.com.

SPEAKER_00 41:40

There we go. All right, there you go. Thank you so much for watching the show. We will see you next Thursday, 7 p.m. All right, that's about it.