The Truth About Stem Cells, Detox & Modern Medicine | Dr. Darshan Shah, MD & Iman Hasan

In this episode, Darshan Shah, MD, founder of Next-Health, joins guest host Iman Hasan, Founder & CEO of IHC Agency and Biohack-it, for a deep dive into regenerative medicine, longevity strategies and the rapidly evolving landscape of advanced therapeutics.

They explore what’s working in clinics today, what’s overhyped and how advanced diagnostics and AI are reshaping personalized care.

Key Points Covered:

🔬 Stem cell therapy explained: sources, limitations and clinical realities
 🧬 Why adipose-derived stem cells may not deliver strong outcomes
 ⚡ The role of exosomes and why they drive therapeutic effects
 🧪 Umbilical-derived stem cells vs. autologous stem cells
 🚫 Regulatory challenges and why the U.S. lags in stem cell innovation
 🌱 Muse cells and the future of regenerative medicine
 🩸 Therapeutic plasma exchange (TPE) vs. filtration therapies
 🧼 “Oil change” analogy for reducing inflammatory and toxic burden
 💊 When peptides and GLP-1 therapies make sense and when they don’t
 📊 Foundational diagnostics: VO2 max, grip strength, biomarkers and more
 🧠 AI-driven healthcare dashboards and personalized medicine
 ❤️ Root causes of chronic disease: inflammation, metabolic dysfunction, lifestyle

🔗 Iman Hasan, Founder-CEO

https://www.biohack-it.com/

https://www.instagram.com/imanhasan/

🔗 Dr. Darshan Shah, MD

https://www.next-health.com/team/dr-darshan-shah

https://www.drshah.com/

https://www.instagram.com/darshanshahmd/

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Transcript

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why would you want to take out your own stem cells that are aged and older and just put them back into your body? Exactly. And, you know, a lot of people coming to us for stem cells, that they're doing it because they don't feel good. for me, the umbilical cells have been a game changer because number one, it doesn't involve the procedure. So practically, that's, a lot easier for patients. The number two. These are brand new power packed stem cells that are coming from the missing couple cells. Yeah. Okay. These stem cells are not regenerative, These are just honing in to where they're needed in the body. releasing exosomes and causing your own natural stem cells to just activate and create a healing cascade. With the. Help! One of the things I know, I. Last night supper club you were talking about. And let's just dive straight into it. We were discussing stem cells last night, and you were talking about additives, tissues, stem cells and why you think they're not that effective. So could we tell the audience a little bit about your hot take on stem cells exosomes and adipose tissue stem cells? Yes. So, you know, I think the way I have a view of this is coming from just a very practical lens. So, we have over a dozen clinics now, but 30 by the end of this year. Right. At Next Health. So we do stem cells for people. And when people are faced with many choices and many conceptions on stem cells, they get really confused because it is a really confusing market out there. Yeah. And the reality is, is things are being done a certain way for a long time because of regulatory concerns and because a scientist going to stencil, because the FDA basically, you know, took the legs out from under the scientific research with their declaration that stem cells are not FDA approved. Of the things that they put into place. And what I can tell you is that adipose derived stem cells are probably, the first methodology that people use for stem cells that are and, and so to talk about stem cells right now, you still talk about the same technology that they've been using probably since it wasn't that long and hasn't been adjusted. Well, yeah, I mean there's yeah. So let's talk about stem cells just in general. Stem cells are derived either from your own body. Or they come from right now umbilical cords. Right from donated umbilical cords from babies that have already been born. These are not embryonic. Yeah. I just want to be very clear. Embryonic stem cells are not utilized anywhere pretty much because of ethical concerns about where you get them from. Right. And when I say that that's like the public facing view of what we can say, I do know that people are using embryonic stem cells without anyone to talk about it, because I just feel like it's it's it's such a charged mind. I wouldn't use them. Right. Okay. So moving past that, when you get stem cells from your own body, you good from your fat or from your bone marrow? Okay. If you could even get some from your blood plasma. Bring them out. It involves doing a procedure on you. So to get that derived themselves they have to do a little mini liposuction. Yeah. To get bone marrow stem cells you to put like a device in your hip. And then we can get them out and then we can separate them and we can, then use them on your own body. But in the United States, what you cannot do is what's called manipulating the stem cells. That means you can't grow them in a petri dish to make one stem cell into millions of stem cells. Okay. And you can't do anything else with them. You only remove them and reinvent them. it involves more of a, a recovery for you as a patient because you have to take them out from your own body and put them back in. Yeah. This is this and this also these stem cells are the same old stem cells that have already been dividing in your body for a long time. That's how I going to ask you. Have been exposed to the environment. Yes. The DNA damage. All of this happens over time. So these are the same old stem cells. Okay. Now you. Yeah. Yeah. Right. But most average people, we've been, you know, battered and bruised so much from environmental toxins, you know, heavy metals. As life happens. And I'm like, why would you want to take out your own stem cells that are aged and older and just put them back into your body? Exactly. And, you know, a lot of people coming to us for stem cells, that they're doing it because they don't feel good. Yeah. Their stem cells are not working very well for them. for me, the umbilical cells have been a game changer because number one, it doesn't involve the procedure. So practically, that's, a lot easier for patients. The number two. These are brand new power packed stem cells that are coming from the missing couple cells. Yeah. Okay. Okay, here's a second biggest misconception that people have about stem cells that no one really talks about. These stem cells are not regenerative, okay. These are just honing in to where they're needed in the body. And they're inducing a healing cascade through releasing exosomes and causing your own natural stem cells to just activate and create a healing cascade. Okay. And so when you're using stem cells for that problem, whether it be mesenchymal stem cells from vocal cords, Amanda Poetic or factorized stem cells, you want to get the most bang for your buck when you're putting them in. Right? Right. And so these adipose drive stem cells that you're seeing some cells that don't have a lot of exosomes in them, which are basically the power. Yeah. Powerhouse in them because mitochondria also transfer from the stem cells into your current stem cells. And so they really don't pack a power punch, to be honest with you, you know. So I think that's where people get really confused about the use of stem cell therapy. And a lot of the literature shows, especially the orthopedic literature shows that if you just take someone's plasma, prp and use that, it's probably just as effective, if not even more than that. Yeah. Stem cells. Yeah. And so you got to be really careful about, you know, what you're buying. Because right now it's the Wild West United States. The marketing is all over the place, but all sorts of crazy things. Yeah, I do think like for cosmetic purposes, stem cells work great. Like if you do a little mini lipo. Yeah. You inject into your face, you get, you know, you get some thought in your brain that the adipose can also cause, the tissues to heal. Right. And collagen not only works really well for that one purpose, but for general wellness and healing. I'm not a huge fan of using adipose derived stem cells. Sorry, that's a really long answer to your question. No, but it's really great because I think it gives the audience the insight into what works, what doesn't from your medical lens and what you're actually seeing. At Next health you guys have like 30 clinics. Pretty much. Right. So you're seeing so much patient data come in at all times. So when you guys are giving patients stem cell protocols right. Who's a candidate. Why are they a candidate. What markers and stuff are coming out for them. And then what dosage are you deploying to them. Yeah. And so, you know, here's the thing. Like the the way you have to think about every patient is very, right. Okay. Pretty much as far as candidacy is concerned, we really stick to people that are using stem cells. In either a healthy environment, like they are pretty healthy, but they just want to accelerate their longevity journey, or we use them for people that are actually having pain you know, like a joined musculoskeletal. Okay. Always, you know, they've already seen it or they've already seen the physical therapy. They kind of like just trying what else is out there. And in those cases we can help them. Right as well. And so it's really just you know going through all the risks and benefits and being very clear with patients. These are not FDA approved okay. The FDA will not approve stem cells right. For any type of disease indication. And then, you know, now the laws are changing, right? The trials are going in many in a few states like Florida. I think, Wyoming is one of them. Yeah. Yeah. Utah. And so I think it's a little bit different in those states right now with how you can talk about stem cells, but, you know, I think those are kind of like the main indications that that we see and we're pretty much sticking to old cells. Yeah. And so that's kind of where we're at right now. I think that the science though, because, you know, in Japan where a lot of these scientists have won, prizes and Nobel Prizes for their research, they've really been enabled by Japan modifying the regulatory. Yeah. Environment where they can really accelerate stem cell research and regenerative research outside of a drug research environment. Right. And so unfortunately in many states, because we have these massive pharmaceutical companies that really influence how things are put out there. Stem cell therapy has really been I think the science of Stem cell therapy is not advanced because we only have the FDA, right? Has a lot of influence on it by the pharmaceutical companies. Right. Right. It is. Unfortunately, it was not in the best interests of the pharmaceutical companies for there to be like this recovery. Yeah. Yeah, I hear you. Yeah, absolutely. There they lose their incentive to create pharmaceuticals. And so, you know, I'm not a conspiracy theorist or anything, but this is just the this is the. Yeah, the world is this is the reality of where we're at right now. So there is one new cell that are really excited about. It’s called the Muse Cell. Okay. M-U-S-E cell, developed in Japan. And these are and this is separate to the NK cells. Great. Yes. Yeah. Right. And Muse cells. They're saying they're actually regenerative. Okay. So I'm driving the science around Muse cells right now because I think this could be a game changer. You know, because you don't want to have surgery anymore. They want a knee replacement, right shoulder replacement. And you know. And what about people that are suffering from neurodegenerative diseases. I'm asking. Yeah. No really there's no treatment that can reverse the course of. Right. So super excited about Muse cells Yamanaka treatments you know. And what's going on there is incredibly exciting. And I think in the next ten years, we're really going to see a quantum leap in regenerative medicine. Sadly, it's not going to come from the United States based company unless they figure out a way to allow the research to get done politically. Make this happen. When it comes to the Muse cells, Darshan, where people deriving them from what is the conditions they're harvested in is a little bit more information on that. Yeah, I mean, the doing most of this all. Yeah I know. And so I have yet to visit their lives. I'm really trying to get out there. But it also yeah it's a family trip right there. I want to really spend some time with the scientists there. Yeah. Yeah, it's really interesting. I, I don't have a lot of, specific details right. For you. I do know they come from the umbilical cords as well. Okay. From cords. And I do know that they are put through a very specific extraction technique. And so that's all I know. And when you're doing the, messenger and stem cells for patients right now, is there a specific dosage you always stick to within certain parameters that you don't go above? It's it's very much dependent. The severity of whatever the patient's going up. there's a cost in every, you know, every 5 million stem cells. There's a cost to it. So how much? It's actually, going to be within the means of the patient to do. And then also, we always tell people you don't have to do 100 million. Correct. These are really powerful mesenchymal cells. Let's start with the lower dose. See if you have any improvement in how long that improvement lives in the last like a significant amount of time. Yeah. You don't need increasing dose. We already know like this does work for you for six months. Let's just. Right. And then are you also stacking during these treatments. Things like exosomes in there as well. do you see incredible results stacking stem cells with exosome treatment spaced out a little bit? Absolutely. Okay. So stem cells would work much, much better if you give them the right environment in which to succeed. Okay. So that involves reducing inflammation as much as possible. Prior to this comes out there. Okay. Using plasma exchange to reduce kind of like inflammatory value of the body and reduce the toxic burden of the body prior to stem cell therapy. Then stem cells in just healing in general need a positive healing environment. That means giving it all the precursors. It needs to to create that including and even so we use it. I.V. nutrients. Yeah. And also hyperbaric oxygen therapy has been shown to accelerate the efficacy of stem cell therapy as well. So we're doing all of this in combination. And again some of the stem cells. And when it comes to TPA can we talk through the difference between also something like a TPA and inferences. Because those are both such hard things that you see all over social media. I think PulseAudio recently did it as well. And so you see people posting about it with their big bags. So can we walk the listeners through the treatment for both what your take is on both of them, and essentially what are some of the results people can expect besides lowering inflammation, and what is the duration of the treatment actually lasts? Okay. So let's talk through what's just like stem cells being divided up into two. Yeah. So for those listeners who don't really know what we're talking about here, these are advanced therapies, that some clinics are doing next. And basically we sitting down in a chair like this one, we hook you up to two IVs, we remove your blood from one arm, put it through some sort of process that we put, put it back in the other hand So we're creating a circuit with a machine. Involves a machine that does something. So what does plasma exchange do. Plasma exchange. That machine is basically a giant centrifuge. So if you’ve ever had prp done, they take your blood usually separated into your plasma and your blood cells, and so the plasma stream machine does the same thing, but for your entire blood volume. And then we put in your blood cells back because obviously you need your bloodstream oxygen. And then we replace the plasma that's been removed, which is a liquid portion of your blood, with albumin and. Okay. And so what that does is basically removes that portion of your blood, the liquid portion of your blood that is not your red, right? Completely inside what lives in your plasma. Everything that we're testing for using a blood test, right. Inflammatory cytokines levels, heavy metals, herbicides, pesticides, immune complexes, spike proteins, proteins, all of that within your plasma. And so when you remove it and that's the pictures you see of people with the plasma, everything's in there and you basically throw it out and you're replacing it with fresh new fluid with nothing in it. Okay. And what that means is basically like an oil change for your body. You're getting rid of the old putting in you, and it's an oil change for your body. There's one critical factor to this that a lot of people don't know about which is albumin. So your body has this protein and it. It's a large protein that's very sticky. And this protein goes through your body mopping up toxins and cytokines and damaged, damaged proteins. And then it transports those to your liver in your kidney for elimination. When you're in a state where you have a high toxic burden or high inflammatory blood, and that albumin is all bound up and move on it. Think of it as like janitors with buckets in the room. Right. So what we do, therapeutic plasma exchange. We remove all the old janitor buckets and we put in brand new buckets. So now you have a fresh new set of albumin in your blood that can go around mopping up, all of these toxins, inflammatory mediators, damaged proteins that are your organs. Right. So you also get that as an added benefit. So I love violence, right? I think it's a really good reset for your body. It's a really good way to, induce a, an environment in your body where if you were to do stem cells, they can just work a lot better. Yeah. Because inflammation is so much lower in your body's cleaner, the receptors it cleaner to receive it. And what is the core difference for between two which is therapeutic plasma exchange and inferences. Yeah. So this is this is so in this is this is like a filter. So instead of removing the plasma you're putting it through the filter. And then you're re injecting it into your body. And these filters do specific things like it is places for the spike protein. Right. there's another filter called clarity or something that removes they say plastics. Okay. To be very clear, you're just getting specific things removed from your plasma. But everything else is still filtering through. What does that mean? It means you're getting your old albumin back. You're getting your old plasma back. What specific items that this filter has removed. So I think these these filters are great if you're going after something specific. It's not a full oil change unless you see oil just removing some compound within it. Right. And then you're getting it back. Right. And so that's basically the difference between filters. So so why would you do that. Right. So why would you do that anymore. Number one albumin is hard to source and it's expensive. To get new albumin we can source some really using that a state which is very difficult to source. In other countries most of the of the world is made well locally. We have a huge very robust albumin industry in the United States, but not in other countries there. Many of them are. And and so number one, that that's one reason that you would do it. Number two is that, I think some people just want to go after and specific, you know, want to remove everything, right. You know, I think I think there's going to be a role for many of these filters and also plasma exchange in, all sorts of different patients. And once again, is very end of one. The only thing that concerns me about some of these filters is there's not a lot of robust research around it. Okay. Really? No. Like exactly how it's working through the population. But what we can do is I have one research meaning we can measure on you for example. So you're trying to remove spike protein right. There's tests that you can get for. Before and after. And you can. Right. Like did this filter work for you. And if it did amazing. You just keep going with. Right. as much changes as this good research how it works. Like there's a great study on Alzheimer's disease, for example. Wow. And, you know, with Alzheimer's, you have all these, like, malformed proteins that residing in your bloodstream. And it's multifactorial as well. So you have like, inflammation, toxic exposure. All of this adds up to life. Right. And so with, with plasma changes, there's a double blind, placebo controlled randomized study using plasma changes to slow the progression of Alzheimer's, called the M bar study, where it works better than any medicine out there for alzheimers exactly it’s insane, is like, why is it more people have access to them starting at a younger age? If you test. Genetic testing is so important nowadays, and if you are a candidate and you're feeling signs and symptoms come up for you, why not go down? This route earlier? I think that's the way the research is, you know, and so the plasma changes as a therapy has been around since 1970s when it was FDA approved. We're not adding anything to your body. It's an FDA approved machine for literally 15 years. Yeah. And it's you know, obviously every procedure has its list, but this is one of the safest procedures that you can do. Yeah. And so, I mean, you know, you wouldn't anybody not be a candidate. Has anybody walked in through your door who does not qualify to be a candidate? Yeah. Yeah. So there's, you know, some people, have very small, fragile. I might be one of those people. And so. And so for those people. Yeah. Right. About where we put these IV. Right. Because it's, again, small, fragile, we will use what's called a midline IV. Okay. Ultrasound that you put an IV in the upper arm. Okay. Because it's a pretty gauge. It's a pretty a 16 or 18 gauge and yet is a big needle. And you know, it's using a pump. Yeah, it's a lot of, pressure, that kind of vein. And so if you have small, fragile things, it can be more difficult. Right. So I think, you know, that's one thing you have to take a look at. Number two. You know, people that a lot of people have like very diesel. They go and they get really I would say, you know, you feel sick and make it at this rate. And so those people aren't being very careful with this. Well, what do you do with them, by the way? Do you have to gas them. Do you have to give them a little Xanax of allium? What do you do? We just kind of coach them through it and some people just can't do it. Yeah. These are the people that come to you. IV come in just for an IV and they just, like, immediately faint and you're like, okay, you just probably should avoid this. Yeah. There's no way to just give them a little bit of a Xanax or Valium to just calm them. You can tell that it affects it affects the procedure. Okay. So, like, you know, the minute you start the procedure, you got to remove that from the bloodstream. Oh, yeah. Yeah. So like, whenever someone's getting plasma and we tell them, like, you know, whatever drugs you take, like, you got your Crestor or rosuvastatin. Yeah. Like, you have, a blood level, plasma level zero. So what will be it effective for today? By the way, this is another really good reason to use plasma exchange is that, for people with really high cholesterol or an LPa it's very effective. And in fact, the American Heart Association has recommended plasma exchange as a therapeutic interventions for people with high and also, familial hypercholesterolemia is like a mainstay of that treatment protocol as well. And people are not talking about this enough. It's such a great, you know, treatment to do. And so many I think a lot of guys aged between like 35 onwards now get diagnosed with high cholesterol, high blood pressure. And they're not directed to these treatments immediately, but instead they're directed to take pharmaceutical grade pill. Yeah. But that's because like, you know, these treatments can be expensive. For every not affordable, you know. And so the second thing is that like using is very another one like it can work for you or cannot work for you. You always need like a pharmaceutical backup option. Yeah. Option. And also to keep you, stabilized day to day because the last thing you want to do is not do a pharmaceutical in your plan for. No. And then you, then you become in trouble and or you have a heart attack, right? I think that, you know, every patient, you just have to have a really skilled doctor taking care of that patient and is able to use all the tools available to them to create a protocol that works for you, and that's going to be sustainable, right? Yeah. Financially and emotionally and physically. Like, I don't know how many times a year I do plasma exchange and try to do it every. Yeah. Like I get busy. Yeah. And like when you're dealing with, high cholesterol, you know, hypertension, autoimmune disease, you can't skip a treatment name is. Right. So also looking at all like you have 30 practices all over. What are some of the most common medications that people walk in being on. And the you guys from these longevity practices have been able to successfully take people off and get them healthier. Yeah, it's a great question. So, you know, we love reducing those and then eventually even stopping for rain in the way this whole process works is we come in, we work with your doctor who's prescribed medications. This is the plan a lot of doctors now believe in are very excited. Like, oh wow, this is great. Yeah. Then option. Yeah. and then the way we do this is we work hand-in-hand with them. So there's like this kind of like double check system and they're reducing dose and then eventually taking something off of it while we're working with them. And so where does this work with metabolic disease. Very, very successful with kind of eliminating for many people. High hemoglobin ones and reversing diabetes. Right. Reversing a metabolic disease in general. Secondly, we've had a lot of success in, autoimmune disease. A lot of people on very expensive biologics that cost like 30 to $50,000 a year. Wow. You know, space out the dosages more or even eliminate the need. Thirdly, I would say is for like cardiovascular disease, I think, a lot of people are in high dose, like multi-modal, high dose therapy for having high cholesterol and once you fix their metabolic disease and cholesterol gets adjusted, the cholesterol just gets better. They don't need all that. So yeah, like all the chronic diseases basically, although we don't realize how common elevated blood pressure is, especially in men. Again. And so, you know, last night we were talking about this with Rhonda Patrick, having really elevated blood pressure can lead later down the line. It's now being linked to things like Alzheimer's and dementia. So why is it because there's a rise in chronic inflammation that people are getting more diagnosed with higher blood pressure? What do you think is correlating down to. Yeah. So the reason why more people have high blood pressure is because blood pressure is a combination of multiple factors that tie into how your blood vessels in the body, every single organ are managing your blood pressure. So high blood pressure is the end result of long periods of stress. Long periods, sedentary activity, long periods of lack of sleep, and also metabolic disease can all lead to just kind of like you know, yin and yang of high blood pressure, metabolic disease as well. So all of those things lead to high blood pressure and high blood pressure that leads to all forms of chronic disease. And if you look at the top ten causes of death in, the CDC, like number one is heart attacks. Yeah. Heart attacks happen just as frequently for men as for women. Men have like large vessel disease or they're big blockages. And when many women die of cancer because a small vessel disease might be due to high blood pressure, high blood pressure also leads to Alzheimer's, as you mentioned, and many other neurological diseases. And, that's because guess what? Your brain is blood vessels too. Yeah. Blood vessels that are not functioning properly because of hypertension. It does accelerate the risk of blood pressure. Right? Alzheimer's. Same thing for kidney disease. And even liver disease. Even peripheral vascular disease. All of it is linked to high blood pressure. And what are the kind of tests when people walk into a next health? Are the first round of diagnostic testing. You guys are running to even see what is somebody's baseline to then start working them up to other things. Yes, that's a great question. Thank you for asking these. Like, you know, a lot of people think that it's just to do a blood test. It gives you hope. Of course not. Yeah. So our baseline includes obviously a blood test okay. So this is getting biomarkers that are critical to your health. And give us a look into that of what is what are you doing along. All of the different factors that affect your health. You know we talked about that all the information your ability to detoxify your liver, kidney health, the cardiovascular risk factors. We're checking all of your. Right. But then beyond that, we want physical measures of how your body is doing as well. So that includes your VO2 max okay. Well, and you know a lot of places are not checking that. Yeah. We yeah we check your grip strength. So we have this machine that, you squeeze that gives us a good grip strength and that's a measure of your overall strength. And, you know, I would say half the people we do this under so surprising they're not strong. They're not as strong as they thought that. Yeah. For their age, strength drops of cliff after 40. Okay, I think people listen to this. Maybe there's a home on Amazon. What's called the grip dynamometer grip. And you can measure this. And thirdly, we're measuring your balance and your mobility. So we do a balance mobility right. What we were doing a cognitive health screening as well. So we sit you down in front of a computer. Some of our locations we have like this little coffee put on the well signals and blood flow. But you don't even need that. You can do this in front of a computer, I guess. And then what else we're measuring? Oh, then we're measuring, obviously. Blood pressure. Yes. Measuring. The using, using a special device. How your small blood vessels are working as well. Okay. Obviously we're doing very important. And every what you do is we're measuring the body composition. I was going to say so Dexa scan of some. We don't use indexes. Yeah. We're actually using a bio impedance okay. But I, we said everyone we highly recommend everyone get the scan after you deploy. Okay. And what do you think a lot of times because everybody's on this trend of GLP ones and everyone's gone crazy with it. They're sometimes not medically supervised while doing GLP ones. The protein intake is not that great anyways. How much is it affecting now bone density when you're running people through these diagnostics, do you see a huge drop in people's bone density and like strength because they're doing a lot of these unregulated GLP ones? Yeah, I mean look at our clinics, our patients come to us to do the job of course, but under medical supervision there's no reason to have bone loss. There's no reason correct. No resolve these issues. But when you're buying them online or your GP that only has ten minutes with you, here you go. Yeah, go take this. That's what people get. All right. So yes, we are seeing a lot of people that have lost bone mass and and I'm a surgeon. So you know, we used to do, gastric bypass surgery. Yeah. Very similar to GMP ones. If you look at like the progression of what happens. Yeah. Gastric bypass surgery know a lot of the weight loss was muscle loss. Yeah. The weight loss was involved was. Yeah. They're severely nutrient deficient. That's what happens with GOP ones if you just like escalate the dose to the max. There's not any supervision, right. Without, you know, doing all these things and getting your nutrients in order. High sleep training, sleeping better, getting your metabolic health takes brain continuous glucose monitor. We do all of that. We put one on one. So GOP ones I think are one of the most transformative drugs that have come out. In decades. Yeah. That's going to I think be a big part of turning around this like massive progression towards obesity and chronic disease, other diseases. Right. Exactly. You have to do it right under the right medical supervision with, a practitioner who understands the nutrient density that you need to have, needs to do the right exercise, make sure you're eating correctly, all of those things combined, because it's a very powerful tool. Anyone that's on the GOP wants to really, you know, read a book, on how to use them correctly. So actually call for a book, and also a doctor with yourself as well. And what about the book of two? Incredible books that have come out this year on how did you GOP one successfully? And there's a lot of like psychological implications. So you have to also think of that. And so yeah highly recommend you get educated before you do. How are you feeling about the recent announcement that the FDA might put the 1415 peptides. It kind of taken off the market back on the market. And what's your hot take. And peptides currently at the moment? Great question. Peptides just like you know stem cells and a lot of these therapies. It's like the wild west right. It yeah. And so people really need to understand the wild west of this whole thing. So again there's two categories. Yeah. There's compounded that you get from compounding pharmacies. And then there's a research use only. Let me tell you what happens with the research is only that that's a giant lot of powder is delivered. Thank you. Thank you. Scoops it into a little. It goes here you go. Here you go. That'll be you know. Yeah. For $5. I only said that you for 100. You don't know if it's stable. It's not third party tested. You don't know what you're injecting into your body. You don't even know if it's it's good or bad. If it's just water. Exactly. You don't even know. Yeah. Okay. So obviously like, I don't I'm not a fan of using. Absolutely. You know you guys just be super cool. Now the other category which is compounded. Yeah. What's called compounding pharmacy. And those were tight regulations with tighter regulations. But still there's some variability really. These are like individual. Yeah they're definitely functioning under what's called the 503 license. But you have to make sure that you're going to like a very reputable place yet again, working with a practitioner that has some responsibility to you as the patient to choose the right pharmacy, to choose the right medication. Right dosage, I think, is also the right. And then you have like the ones that are made in pharmaceutical companies like pharma is making GLP one. Yeah. Right. And they're like under super tight regulations. So you can be pretty confident that if you're buying like a zombie or Monsanto, that you're getting like the right thing. Now I will say like I've gone through separating for myself. Pharmacy. In that way in the past that was making it and it didn't work like this. Yeah. Probably like variability and right. It was, it would be make buyer beware on that side. I do think that now that RFQ said Joe Rogan that you know he's looking at putting his 14 peptides back into a regulatory state. That's a big one because that means that how many pharmacies right these and under tight controls and test them goes away. Right. Exactly. So I think I think it's a step in the right direction. The biggest problem with that is that there's just not robust studies around. And they're also not a miracle drug. They're just not I understand with GLP one they're transformative, committed to people's lives. But I feel that peptides are signaling molecules to your body. So they're going to only do in your body what the terrain is allowing them to do. So there are other things that you and Next Health, for example, do, which is fix some of these sleep. Make sure they make sure you tune density goes up your, you know, doing an environmental toxin over taking all that stuff out that prepares a train to receive these new molecules in a much better way. Exactly. And so. Well said. you use that time when you need them. But if the biology is not, ready. Yeah. They're not doing very effective in the. Yeah. And they're expensive, by the way, pharmaceutical grade peptides, a protocol for two months can run you anywhere from 35 to $7000. It's not cheap. And I always tell people, work on your foundational health first. Do the diagnostic testing, understand your baseline, work on hydration, sleep, nutrition, start supplementing correctly, which I know you guys also build these protocols at next. And then from there jump onto the bandwagon of these really expensive treatments. Exactly. Also being in the business of health and well is not only are you like a world class surgeon, you you have essentially a longevity business. You have all these clinics you guys are scaling. You've gone global. What are some of the things that were where some of the biggest pitfalls growing at this, these you guys scaled pretty quickly. Right. And going international as well. What it means and things that have been incredible. But what have been some things that have been like, damn it, I didn't see that coming. That was really hard. So yeah, I think is what we've been talking about in this podcast. A is this interaction between regulatory environment, you know, modern therapeutics, right. And so, because I've come from a surgical background, I'm so used to regulatory. Correct. I used to operate surgery centers, which obviously like if you're having surgery, if that is not done in a safe, clean environment, it's a huge pain region. So I come from this mindset of understanding like why regulatory is so important, thank goodness it does. Right? Right. But also now you have these kind of new therapeutics that are in regulatory struggles, right? Because the regulatory environment has not adapted quickly enough to allow some of this to actually work. Right. So now you develop what's called when there's a lack of regulation, you develop like a gray area. All these gray areas are peptides and stem cells and these things that we're talking about. I find it very challenging because you know, even though I probably the best equipped person to deal with. Yes. That's your background. Yeah. For 30 years, you know, I, I, you find it very challenging. You sit at the sweet spot between alternative functional health and having a traditional background, which a lot of people in the space don't have. Exactly. And so it's great because it really forces us to uplevel our game to the high. Yeah. Because we need to be, regulated and we have to do a lot of self regulation. So for example, one of the things that we do is we have a pharmacist come in our locations, on a quarterly basis and fill out an entire report giving a pharmaceutical review of what we're doing in our location to make sure we're doing it under the safest possible environment. So those are the kind of things that we're doing right away from regulatory wise. And in terms of also like scaling from a business perspective, you guys put together a world class medical board. You guys released that. And I thought that was so incredible to watch because a lot of clinics don't want to do that. They're like, I'm the doctor, I'm the star. But you have all these email like, I think Sarah Gottfried's all was on your board. So many other incredible friends and colleagues. I think bringing in these additional specialists to be part of your next health family is something amazing to watch because you're saying, listen, we we offer different types of services. We have different specialists across different verticals who can look at your health and kind of feed into it. Yeah, yeah. To me, the advisory board is kind of, it's been very validating what we're doing. So everyone on their advisory board, they've gotten to know me over the last 2 or 3. Yeah, through podcasting and sharing the stage of different speaking engagements and have invited them in next out. And I think it's amazing the size and 3 or 4 hours. Yeah. Now doing all the therapeutics, explaining the regulatory environment that we're working under, our self patient research and data that's coming out. Data, all of it. And what's been awesome is every single one of them. These are like the top doctors in the field. Godfrey you mentioned the top scientists and doctors in the field. Like wait a minute. You guys are really doing this at the highest possible level. And I want to join your journey because I really believe in how you're treating patients, not just how you treat patients, but also how you're rethinking the entire healthcare industry. Because, you know, we have this healthcare industry that's developed over the last hundred years, and thank God we have. But it was developed with the mindset of treating emergencies and really bad thinking, like when you have a heart attack and it's a sick care system, as I call it, right. It's like it was built to take care of you. The last piece of your health drain you really needed versus keeping you actually healthy along the way, which is what a health care system should be doing. And so my whole thesis with myself was, I'm going to stop trying to fix the current health care system because it's needing is there for a reason, right? Just to build something new, something that runs parallel next to it, that will keep you out of the system longer and completely like focused on keeping you out of the system. The thing you do need to go into the system because you have some kind of chronic disease. A lot of, you know, multiple medications, we actually want to reverse the chronic disease. And so that's kind of what we're building in. That's out. And so our advisory board are like they're there because they fully believe in the mission of what we're doing and to the level of what we're doing. That's also you guys have really advanced things like the MRI machine that you basically put everyone through. And it's like really incredible to basically put to start someone's journey being like, we're going to get every single biomarker, every single point, data point we can on your health and then build essentially a protocol around it. So not only is it preventative from day one, they can keep you out of the system as you age. But yeah, I think we have such incredible diagnostics out there. And so just to paint a full picture of what's going on with your body with diagnostics is so valuable to us. You know, I mean, you look at your body, it is the most incredible machine ever created, right? And then you look at, like, an F1 car. Okay, look at the hundred million dollars of diagnostic equipment that F1 racers use for races. Right. And I'd argue the F1 race car is probably 1/1000 of million of the complexity of the human body. Right? Right. So why do we use like technology the way we used for our right to really fine tuning in biology. And so I think as time moves forward, you know, we've developed incredible diagnostic equipment, a technology for the skin care system. Let's use it for this new health care system. Right. We use it earlier when it's more valuable. I would I would even, you know. Yeah. Reverse the destiny of you also talked about last night about some AI that you're very excited about in health care. Can we touch upon that? Yeah. So, it's finally got to the point where it's really can help us connect the dots. And so we've built an entire patient health care dashboard that every patient will get access to by being a member of Excel, where they can basically upload everything they've ever done for their health, ever into this. And then I will sort through all their records, all their MRI scans, Cat scans, blood test urine, wow, connect to every wearable and bring all of that data together in its brain. To then create like a dashboard of your health. And you can then talk to the AI about all of it. And it's all like supervised by our clinicians as well. So as a clinician, that's incredible. So somebody comes in the supply all the information and looks at every single data point over the five, ten, 15 years, however long they can trace it back. And then essentially they can speak to a specialist and be like, hey, what should be my protocol? How should I get started? And also find the missing gaps that maybe somebody might miss during an intake? And it's been transformative. I mean, we're just starting to use this the last couple of months. Like even helps the doctors fill in the gaps of what they did. Yeah, we didn't see that correlating over there. And you should see how incredible this is. Like kind genetics, blood markers and like it's really the way healthcare should be working because like if you have a genetic susceptibility to something then your threshold to be put on a medication. Yeah. Should rise. Correct. For you. People now can really practice and have one personalized medicine. That's amazing. And I've really enjoyed speaking to you and sitting down with you. And I was a veteran. Thank you so much for hosting us on the show today. And just. Yeah, vibrant. Great. Where? Yeah, so many data points in these days. I mean, thank goodness we have it. I would say to everybody, I think it's one of the top at home diagnostic testing companies in the absolute world. really offers tools and resources to people to get started. So awesome. Yeah. Thank you for making time this morning and coming on the show. And it's so amazing to meet people like yourself. Thank you kindred spirits, we are of people and get the word out there, out there. And so thank you for having me